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Giant lumbar incisional hernia with loss of domain
Umang Bharat Mamaniya, Pinak Dasgupta, Palanisamy Senthilnathan, Palanivelu Chinnusamy
Department of Minimal Invasive Hernia Surgery, GEM Hospital and Research Centre, Chennai, Tamil Nadu, India
Correspondence Address:
Umang Bharat Mamaniya,
Department of Minimal Invasive Hernia Surgery, GEM Hospital and Research Centre, Thiruvengadam Nagar, MGR Road, Perungudi, Chennai - 600 096, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmas.jmas_274_21
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Giant lumbar hernia, with loss of domain, is a complex scenario to treat. Abdominal compartment syndrome is a dreaded post-operative complication. This can gravely impair the patient's respiratory function and also cause insufficient perfusion of the viscera. Pre-operative progressive pneumoperitoneum can facilitate bowel repositioning and can reduce impairment of the post-surgery lung function, essential for a favourable post-operative outcome. Here, we describe the treatment of a case of giant lumbar incisional hernia by the creation of progressive pneumoperitoneum and hybrid repair of incisional hernia with left posterior component separation and placement of giant prosthetic reinforcement of the defect.
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