Ventral hernia repair due to large defect of abdominal wall caused by right iliac crest flap and myocutaneous flap harvesting

  • Mario Rasic Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
  • Kristijan Cupurdija Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
  • Dario Kozul University of Zagreb, School of Medicine, Zagreb, Croatia
  • Valentino Lisek University of Zagreb, School of Medicine, Zagreb, Croatia
  • Jakov Mamic University of Zagreb, School of Medicine, Zagreb, Croatia
  • Domagoj Vergles Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
Keywords: ventral hernia, anterior hernia repair, preperitoneal mesh, bone flap

Abstract

Background: postoperative ventral hernia is one of the most common complications of surgery pertaining to the abdominal wall. Whether a hernia will occur depends on the size and location of the incision of the abdominal wall.

Case study: We report a case of a 65 years old male patient who developed a large ventral hernia after right iliac bone and myocutaneous flap harvesting for reconstruction purposes after maxillectomy. The intraoperative find was a 40 cm wide hernia sack with a hernia neck 15 cm in diameter. The right iliac wing was the inferior border of the hernia neck. The patient underwent anterior ventral hernia repair with implantation of polypropylene mesh into the preperitoneal space.

Conclusion: Placement of preperotoneal mesh in case of postoperative hernia reduces possibility of recurrence or infection.

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Published
2021-09-28
How to Cite
1.
Rasic M, Cupurdija K, Kozul D, Lisek V, Mamic J, Vergles D. Ventral hernia repair due to large defect of abdominal wall caused by right iliac crest flap and myocutaneous flap harvesting. Acta Chir. Croat. [Internet]. 2021Sep.28 [cited 2021Oct.17];18(1):33-5. Available from: https://acc.hkd.com.hr/index.php/ACC/article/view/133
Section
Case Reports