Author(s)

Amadou Maïga^1*, Amadou Bah¹, Ibrahim Diakité¹, Zakari Saye¹, Boubacar Y. Sidibé¹, Bathio Traoré², Moussa Diassana², Siaka Konaté¹, Arouna A. Doumdia¹, Tani Koné¹, Aly B. Diallo², Amadou A. Traoré¹, Mamadou Diallo³, Bakary T. Dembélé¹, Oumou H. Saadé¹, Moussa Kanté², Madiassa Konaté¹, Souleymane Dembélé¹, Moussa Samaké¹, Moussa Konaté³, Lassana Kanté¹, Alhassane Traoré¹

¹Service de chirurgie générale, hôpital universitaire, Bamako, Mali.
²Service de chirurgie générale, hôpital de Sikasso, Sikasso, Mali.
³Centre de référence de la Commune VI, Bamako, Mali.

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.

Giant Hernia, General Surgery, CHU Gabriel Touré

Maïga, A. , Bah, A. , Diakité, I. , Saye, Z. , Sidibé, B. , Traoré, B. , Diassana, M. , Konaté, S. , Doumdia, A. , Koné, T. , Diallo, A. , Traoré, A. , Diallo, M. , Dembélé, B. , Saadé, O. , Kanté, M. , Konaté, M. , Dembélé, S. , Samaké, M. , Konaté, M. , Kanté, L. and Traoré, A. (2021) Giant Hernia with Incarceration. Surgical Science, 12, 399-403. doi: 10.4236/ss.2021.1212042.