Incarcerated Ventral Abdominal Hernia

Case summary Cranial ventral midline hernias, most often congenital, can be associated with other congenital abnormalities, such as sternal, diaphragmatic or cardiac malformations. A 4-year-old multiparous queen with a substernal hernia was admitted for evaluation of a mammary mass. During CT examination, a bifid sternum, the abdominal hernia containing the intestines, spleen, omentum, three fetuses, a mammary mass and an incidental peritoneopericardial diaphragmatic hernia were identified. Surgery consisted of a standard ovariohysterectomy and repair of the peritoneopericardial hernia. Primary closure of the abdominal hernia was attempted but deemed impossible even after the ovariohysterectomy, splenectomy and a partial omentectomy. An external abdominal oblique muscle flap was used to close with no tension on the cranial part of the hernia. One month postoperatively, the queen had no respiratory abnormalities and the herniorrhaphy was fully healed. Relevance and novel information This case is the first description of a 4-year-old multiparous pregnant queen with complex congenital malformations and surgical correction of a peritoneopericardial hernia and a 6 × 8 cmsubsternal hernia with an external abdominal oblique muscle flap. Life-threatening sequelae associated with large abdominal hernias can be attributed to space-occupying effects known as loss of domain and compartment syndrome, which is why a muscle flap was used in this case. The sternal cleft was not repaired because of the size of the cleft and the age of the cat.

Download Full-text

Protein-losing enteropathy resolved after ventral abdominal hernia repair

Gastroenterología y Hepatología (English Edition) ◽

10.1016/j.gastre.2018.05.011 ◽

2018 ◽

Vol 41 (5) ◽

pp. 313-315

Author(s):

Lara Aguilera Castro ◽

Luis Téllez Villajos ◽

Antonio López San Román ◽

José Ignacio Botella Carretero ◽

Ana García García de Paredes ◽

...

Keyword(s):

Hernia Repair ◽

Abdominal Hernia ◽

Protein Losing Enteropathy ◽

Abdominal Hernia Repair ◽

Ventral Abdominal Hernia

Download Full-text

PNEUMOPERITONEUM IN PREPARATION FOR CORRECTION OF A LARGE ABDOMINAL HERNIA IN AN INFANT

PEDIATRICS ◽

10.1542/peds.26.2.273 ◽

1960 ◽

Vol 26 (2) ◽

pp. 273-280

Author(s):

Bernard Pines

Keyword(s):

Young Patient ◽

Abdominal Hernia ◽

Ventral Abdominal Hernia ◽

Operative Closure

The preoperative use of artificial pneumoperitoneum was found to be a valuable aid in the possible solution to the problem of definitive operative closure of massive ventral abdominal hernia in the young patient. The method of its use in a 22-month-old child is described in detail. The rationale for the use of this procedure is discussed generally.

Download Full-text

Successful management of ventral abdominal hernia in goat: a case report

International Journal of Natural Sciences ◽

10.3329/ijns.v2i2.11387 ◽

2012 ◽

Vol 2 (2) ◽

pp. 60-62 ◽

Cited By ~ 1

Author(s):

BC Das ◽

BK Nath ◽

MS Pallab ◽

A Mannan ◽

D Biswas

Keyword(s):

Case Report ◽

Clinical Examination ◽

Surgical Intervention ◽

Natural Sciences ◽

Abdominal Hernia ◽

Successful Management ◽

History Of ◽

Ventral Abdominal Hernia ◽

Loss Of Appetite ◽

Veterinary Hospital

The study was conducted a four month old Jamunapari doe weighing 15kg that was brought to the SAQ teaching veterinary Hospital, CVASU, Chittagong with the history of unknown cause, loss of appetite and gradual swelling in the pelvic region since one month. Based on clinical examination the case was subjected as a ventral abdominal hernia and corrected by surgical intervention. The case was recovered unevenfully at 10th postoperative day. DOI: http://dx.doi.org/10.3329/ijns.v2i2.11387 International Journal of Natural Sciences (2012), 2(2):60-62

Download Full-text

Use of Prolonged Prophylactic Antibiotics with Closed Suction Drains in Ventral Abdominal Hernia Repair

The American Surgeon ◽

10.1177/000313481908500432 ◽

2019 ◽

Vol 85 (4) ◽

pp. 403-408

Author(s):

Eric Weiss ◽

Paul Mcclelland ◽

James Krupp ◽

Murad Karadsheh ◽

Mary Sue Brady

Keyword(s):

Hernia Repair ◽

Primary Outcome ◽

Univariate Analysis ◽

Antibiotic Use ◽

Prophylactic Antibiotics ◽

Abdominal Hernia ◽

Limited Evidence ◽

Closed Suction ◽

Increased Risk ◽

Ventral Abdominal Hernia

Closed suction drains (CSD) are commonly used in ventral hernia repair (VHR), with or without prolonged postoperative prophylactic antibiotics (PPA) for the duration of their use. We examine the evidence that PPA with CSD reduce surgical site infection (SSI) in patients undergoing VHR. We also examine the evidence assessing the association between SSI and CSD in VHR. A systematic review of PubMed, CIHNL, and Cochrane databases was performed to identify studies analyzing rates of SSI with CSD in patients undergoing abdominal VHR and related procedures with or without the concomitant use of PPA. The primary outcome was the rate of SSI. Five studies totaling 772 patients were identified, 525 patients were confirmed to have CSD, and 434 patients received prolonged antibiotics while drains were in place. PPA had no significant effect on SSI in two studies and were associated with decreased SSI in one study (Odds ratio 0.235, 95% confidence interval 0.090–0.617, P = 0.003). Two studies documented a higher rate of SSI in patients with CSD (79% vs 49% and 19% vs 10%) on univariate analysis. One study demonstrated a very low risk of SSI despite CSD (4.2%) and another demonstrated no increased risk with or without CSD. The use of drains is not clearly associated with an increased risk of SSI in VHR, and there is limited evidence to support antibiotic use while the drains are in place to decrease the potential risk. Prospective randomized studies are needed to more clearly assess these associations.

Download Full-text