Primary Repair of a Huge Incisional Hernia by Using an External Oblique Myofascial Releasing Technique without Mesh: A Case Report.

, Park, Ki Jae; , Woo, Jin Hee; , Lee, Hak Youn; , Lee, Se Yong; , Shin, Jong Sok; , Roh, Young Hoon; , Kim, Sung Heun; , Choi, Hong Jo

doi:2008.24.5.386

Case Report

Journal of the Korean Society of Coloproctology 2008;24(5):386-389.
DOI: https://doi.org/10.3393/jksc.2008.24.5.386

Primary Repair of a Huge Incisional Hernia by Using an External Oblique Myofascial Releasing Technique without Mesh: A Case Report.

Park, Ki Jae , Woo, Jin Hee , Lee, Hak Youn , Lee, Se Yong , Shin, Jong Sok , Roh, Young Hoon , Kim, Sung Heun , Choi, Hong Jo

Department of Surgery, Dong-A University College of Medicine, Busan, Korea. colonch@donga.ac.kr

Abstract

Incisional hernias are one of the most common complications after abdominal surgery and are an important cause of postoperative morbidity. Various methods are available for repairing incisional hernias, such as primary suture repair, an open mesh technique, and a laparoscopic mesh technique. The surgical management of a large incisional hernia by using a prosthetic mesh in a contaminated operative field (i.e., opened bowel from previous stoma or bowel resection) remains a difficult challenge because the non-absorbable mesh used is accompanied by a potential risk of infection and its related morbidity. We present a case of a large abdominal-wall defect, which was corrected by utilizing an external oblique myofascial releasing technique without the use of mesh, in a patient with an incisional hernia coexistent with Hartmann's colostomy.