Abdominal Wall Reconstruction Following Strangulated Recurrent Incisional Hernia During Pregnancy

Heath A. Dorion, Barbara M. Hileman

Abstract


By the 10-year follow-up, incisional hernias appear at a rate of 18.7%, but it is still unknown how often this complication occurs during pregnancy. It is challenging to diagnose a hernia in a pregnant patient, and there is a lack of literature reporting on these cases. We present the case of a 26-week gestation, morbidly obese patient who presented with a strangulated, recurrent incisional hernia. She required bowel resection and multiple subsequent incisional hernia repairs. Finally, a bioprosthetic reinforced component separation repair was used on the fifth hernia occurrence. The patient remains free of recurrent hernia but still experiences pain in her abdomen and back. An ideal technique for repairing incisional hernias in pregnant patients has yet to be established, but it is clear that each case must be dealt with on an individual basis. It is essential for surgeons to consider the length of the surgery, the presence of contamination, the age of the fetus, the size of the defect, and the chances of recurrence before selecting which technique to employ when repairing abdominal wall hernias in pregnancy.




J Med Cases • 2013;4(12):796-798
doi: http://dx.doi.org/10.4021/jmc1504w

Keywords


Hernia in pregnancy; Strangulated recurrent incisional hernia; Strangulated incisional hernia; Recurrent incisional hernia; Incisional hernia

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