Case Report
 
An unusual presentation of an incisional ventral wall hernia: A case report
Susanne Irene Scott1, Achal Khanna2, Jonathan Guy Finch3
1MRCS, CT2, General Surgery, Northampton General Hospital, Northampton, UK
2FRCS Gen Mphil, Specialist Registrar, General Surgery, Northampton General Hospital, Northampton, UK.
3FRCS Gen MD, Consultant, General Surgery, Northampton General Hospital, Northampton, UK.

doi:10.5348/ijcri-201592-CR-10553

Address correspondence to:
Susanne Irene Scott
Skodsborg Strandvej 126
2942 Skodsborg
Denmark
Phone: +45 23 49 66 80

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How to cite this article
Scott SI, Khanna A, Finch JG. An unusual presentation of an incisional ventral wall hernia: A case report. Int J Case Rep Images 2015;6(9):570–573.


Abstract
Introduction: Abdominal incisional herniae are well known complications after abdominal surgery and many methods for repair of the hernial defect have been tried and developed. These include open repair with or without mesh and laparoscopic repair.
Case Report: We present an extremely unusual case where the hernia sac had dissected a plane between anterior sheath and the rectus muscles. Surgical development of this plane is associated with great risk of damage to nerves and vessels therefore not commonly used in hernia repairs.
Conclusion: In this highly unusual case where traditional mesh placement was of little value, we chose a unique and as yet undescribed method of retro-anterior sheath mesh placement with good results at third month.

Keywords: Abdominal wall, Hernia, Hernia repair, Mesh


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Author Contributions
Susanne Irene Scott – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Achal Khanna – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jonathan Guy Finch – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Susanne Irene Scott et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.