Case Report: Combined posterior and anterior compartment separation in giant incisional hernia repair: balancing feasibility and postoperative complications
Prevezanos Dionysios, Konstantinos S. Giannakopoulos, Dimitrios K. Vlachos, Georgia Marina Tsiolaki, Stylianos Kykalos · 2025
Read Case Report: Combined posterior and anterior compartment separation in giant incisional hernia repair: balancing feasibility and postoperative complications by Prevezanos Dionysios, Konstantinos S. Giannakopoulos, Dimitrios K. Vlachos, Georgia Marina Tsiolaki, Stylianos Kykalos (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12756418.txt.
Description
The authors report a 74-year-old man with a giant incisional hernia after repair of a burst abdominal aortic aneurysm. The midline defect measured 17.5 centimeters wide and held part of the liver and loops of intestine. Before surgery, botulinum toxin injections into the abdominal wall shrank the defect by 2.5 centimeters. The surgeons favored a posterior separation technique, which frees the wall layers from behind and preserves nerves and vessels, reinforced with mesh.
Tension on the front sheath forced a limited front separation as well, kept as small as possible because that step carries high complication rates. Recovery was smooth: drains came out on day five, discharge on day eight, and a small fluid pocket was drained with a needle. At twelve months there was no recurrence. The case argues for posterior-first repair of giant hernias, tailored to the patient.
Catalog record
| CREATOR | Prevezanos Dionysios, Konstantinos S. Giannakopoulos, Dimitrios K. Vlachos, Georgia Marina Tsiolaki, Stylianos Kykalos |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 13 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |