TITLE:
Giant Hernia with Incarceration
AUTHORS:
Amadou Maïga, Amadou Bah, Ibrahim Diakité, Zakari Saye, Boubacar Y. Sidibé, Bathio Traoré, Moussa Diassana, Siaka Konaté, Arouna A. Doumdia, Tani Koné, Aly B. Diallo, Amadou A. Traoré, Mamadou Diallo, Bakary T. Dembélé, Oumou H. Saadé, Moussa Kanté, Madiassa Konaté, Souleymane Dembélé, Moussa Samaké, Moussa Konaté, Lassana Kanté, Alhassane Traoré
KEYWORDS:
Giant Hernia, General Surgery, CHU Gabriel Touré
JOURNAL NAME:
Surgical Science,
Vol.12 No.12,
December
28,
2021
ABSTRACT: Introduction: Giant
hernias induce changes which reduce the quality of life of patients and make
their surgical management complex. Adequate preoperative preparation of the
patient guarantees good postoperative progress. It is necessary to avoid
resorting to a technique of separation of the compartments during the cure.
Here we report the case of a patient who benefited a successful cure using the
Ramirez technique. Observation: We report the
case of a 60-year-old patient admitted to an outpatient clinic for abdominal
swelling evolving for 30 years without the notion of trauma gradually
increasing in volume. The interrogation and physical examination led to the
diagnosis of a giant white line hernia with incarceration. A preoperative
assessment and a preanesthetic consultation were carried out. Intraoperatively,
the cecum, transverse colon, sigmoid, jejunum and greater omentum were
incarcerated in the bag. After adhesiolysis we proceeded to resect the bag and
cure it using the Ramirez technique. The consequences were simple and the
patient was discharged on day 4 after her dressing and was seen on day 15, 1
month, 3
months and 1 year. The patient benefited from the placement of an abdominal
compression sheath for 3 months. Conclusion: Success
in the management of prosthetic material in the absence of prosthetic material
depends on good preoperative preparation and the mastery of certain surgical
techniques.