An Obstructed Incisional Hernia: A Rare Case Report

Dr. Dharm Patel, Dr. Jignesh Dave, Dr. Vidit Jethwa

Abstract: Incisional hernias are the most common postoperative complication of incisions during laparotomy and contribute to a significant burden. The aetiology of incisional hernias varies depending on the surgical technique, patient?s condition, and surgeon?s experience. Many patients present with abdominal swelling and some degree of discomfort, and in an emergency, the presentation is usually as bowel obstruction or strangulation, necessitating immediate exploration. Hernias can be repaired by closing the defect with a non - absorbable suture or using mesh. Amidst the use of invasive techniques and mesh, the rate of recurrence remains high for Incisional hernias, with pain and infection being the most common symptoms. The consequence of Incisional hernia repair is affected by comorbid conditions such as chronic cough, constipation, urethral stricture, benign prostate hyperplasia, ascites, and obesity. We present a case of a 30 - year - old male with an Obstructed Incisional hernia.

Keywords: obstruction, incisional hernia, irreducible, emergency laparotomy