Case Report
Volume 7 Issue 5 - 2020
Ventral Hernia Planned a Surgical Challenge
Mireya De La Fuente González1, Morelos Adolfo García Sánchez2*, José Alberto Martínez Valdés3, Alejandro Badillo Bravo4, Juan Manuel Tierrafría Valle3, Luis Andrés Sáenz Romero3, Alberto Uriel Garnica Rosales3, César Hernández Martínez3, Arturo Reyes Martínez5, Alan Roberto Vázquez Rebollo3, Daniel Ramirez León3, Héctor Armando Miranda Blasnich3, Roxana Islas Mendoza3, Yabin Javier Soto García3 and Jorge Armando Gutiérrez Macías3
1General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, Mexico City, Mexico
2Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, México City, México
3General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico
4General Surgeon, Surgical Department at “Dr. Belisario Dominguez” Specialty Hospital, Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
5Orthopedic and Traumatology, Hospital Juárez de México, Secretary of Health of Mexico City, National Autonomous University of Mexico, México City, México
*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, Mexico City, Mexico.
Received: March 20, 2020; Published: April 06, 2020




Abstract

Introduction: Herniary pathology is a stigma that for centuries has influenced the galénic-surgical work. There are many varieties of hernias such as congenital, acquired, with eponymous, namesakes, trauma, effort or even the same surgical practice. The one that moves us is the planned ventral hernia, which by definition is acquired by not closing the Aponeurotic muscle layer of the abdomen; leaving the abdominal viscera covered only with skin, with the lateral retraction in severe shape of the aponeurotic wall and with a pronounced muscle tension.

Objective: Disseminate to the medical community, which can dissect intestinal handles firmly attached to the skin, without the need to perform intestinal resection or laceration of handles, in a patient with planned ventral hernia, in the presentation of a clinical case.

Results and Discussion: Planned ventral hernias are not a common and simple surgical entity; since they do not comply with the expected anatomical components in the vast majority of hernias, which are: fibrosis of the surrounding tissues, a herniary sac formed by parietal peritoneum and the absence of direct contact with another real and functional anatomical structure; these hernias are the last resort used by the surgeon to keep the patient alive; which for years has been done with different surgical techniques; abdominal wall incisional hernias are a common problem and the success of abdominal wall reconstruction decreases inversely proportional to the increase in hernia size; not so, the planned ventral hernias are all large to giant. Repair of giant incisional hernias requires complex surgery and conventional mesh methods are unsatisfactory, with high rates of recurrences and complications; however, it is emphasized that no surgical technique is needed to treat a planned ventral hernia.

Conclusion: There is no detailed and standardized surgical technique that satisfactorily solves the planned ventral hernia, so there is no literature to express it and it is the purpose of this article.

Keywords: Incisional; Hernia; Ventral; Reconstruction; Recurrence; Aponeurotics; Technical; Surgical

References

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Citation: Morelos Adolfo García Sánchez., et al. “Ventral Hernia Planned a Surgical Challenge”. EC Gastroenterology and Digestive System 7.5 (2020): 01-07.

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