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UNUSUAL CASE
Ahead of Print

Giant lumbar incisional hernia with loss of domain


 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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_274_21

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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    -  Mamaniya UB
    -  Dasgupta P
    -  Senthilnathan P
    -  Chinnusamy P
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04