Treatment of permagna incisional hernia with skin necrosis and abscess: case report.
Ventral incisional hernia rate is decreasing due to the introduction of new clinical and surgery method. As a result, the complex incisional hernias, are less often described and rarely treated. We describe our experience in emergency case. We present the case of permagna incisional hernia with skin necrosis, subcutaneous abscess and bowel perforation which cause a long-lasting bedding. The successful management includes an emergency surgery applying hernia reduction, bowel resection and abdominal wall reconstruction through a biological mesh and positioning of VAC System. There is not a gold standard treatment that obtained an unanimous consensus, however we recommend the following procedure in that, in our patient, it shows no recurrences, infections and other post-operative complications.
Emergency Department, Division of Emergency Surgery and Trauma. Policlinico Umberto I. 'Sapienza University, Rome, Italy.
M
M
Assenza
Emergency Department, Division of Emergency Surgery and Trauma. Policlinico Umberto I. 'Sapienza University, Rome, Italy.
C
C
Reali
Emergency Department, Division of Emergency Surgery and Trauma. Policlinico Umberto I. 'Sapienza University, Rome, Italy.
G
G
Marenga
Emergency Department, Division of Emergency Surgery and Trauma. Policlinico Umberto I. 'Sapienza University, Rome, Italy.
S
S
Marchese
Emergency Department, Division of Emergency Surgery and Trauma. Policlinico Umberto I. 'Sapienza University, Rome, Italy.
C
C
Modini
D000038:Abscess / Q000150:complications* / Q000601:surgery*; D004638:Emergency Treatment; D005260:Female; D006555:Hernia, Ventral / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009336:Necrosis / Q000150:complications* / Q000601:surgery*; D012867:Skin / Q000473:pathology*; D012874:Skin Diseases, Infectious / Q000150:complications* / Q000601:surgery*