DOI: 10.36347/sjmcr.2015.v03i08.002

Pages: 658-662

Giant incisional hernia is an uncommon, but significant, complication following laparotomy. Anatomical correction of giant incisional hernia remains a surgical challenge due to various wound complications inherent with different techniques instituted. Inspite of the risk factors and controversies, it is impetuous that we advocate a standard surgical procedure for giant incisional hernias. The anatomical separation of components has been proposed as the best treatmentfor large abdominal wall defects. Successful correction with the use of large prostheses is associated with high rates of wound complications, dehiscence and recurrence. This is mainly because the abdominal wall does not resume its elasticity and compliance completely. Moreover, the components separation method alone seems insufficient for huge defects, in which it is impossible to re-approximate the rectus muscles without tension. For these cases, we illustrate a novel operation using a modified component separation technique. Here is our institutional experience in a 60-year old lady who presented with a giant obstructed incisional hernia.