A case of large recurrent ventral hernia

Post on 16-Apr-2017

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Transcript of A case of large recurrent ventral hernia

A case of Large recurrent Ventral HerniaBYDR. AHMAD UZAIR QURESHIASSISTANT PROFESSOR OF SURGERYKING EDWARD MEDICAL UNIVERSITY, LAHORE

Bio- data

Mr. M N Age: 28 year/ Male Unmarried R/O : Dharampura Lahore

Clinical Summary

Underwent laparotomy for Blunt trauma abdomen in 2009 Anastomosis leaks and re-do laparotomy is done on 14th post

operative day Stoma is sited and midline wound dehisced Midline wound closes by secondary intention Stoma reversal done 5 months postoperatively

He has now started the job as a Gardener

8 months followup – there isNo herniationNo Wound infection

Component Separation operation

Component Separation operation

Common complications

1. Wound infection2. Reherniation ( 0 – 36%)

Abandoned trial due to high rate of complications with Mesh repair