Botulinum toxin and fasciotens in the management of complex ventral hernia: a case report

Premkumar Balachandran; Vishanth Gubendran; T. S. Subbiah; M. Kanagavel; Sengutuvan Pandian; Adhiyaman; Sabarigiri Easan; Kamalakannan; Charles Mano Sylus

doi:10.18203/2349-2902.isj20250831

Authors

Premkumar Balachandran Institute of Hernia Surgery and Abdominal Wall Reconstructions, Apollo Hospitals, Chennai, Tamil Nadu, India
Vishanth Gubendran Institute of Hernia Surgery and Abdominal Wall Reconstructions, Apollo Hospitals, Chennai, Tamil Nadu, India
T. S. Subbiah Institute of Hernia Surgery and Abdominal Wall Reconstructions, Apollo Hospitals, Chennai, Tamil Nadu, India
M. Kanagavel Isabel Hospitals, Chennai, Tamil Nadu, India
Sengutuvan Pandian Apollo Speciality Hospitals- OMR, Chennai, Tamil Nadu, India
Adhiyaman Department of General Surgery, Apollo Speciality Hospitals - OMR, Chennai, Tamil Nadu, India
Sabarigiri Easan Department of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India
Kamalakannan Apollo Speciality Hospitals- OMR, Chennai, Tamil Nadu, India
Charles Mano Sylus Apollo Hospitals, Vanagram, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20250831

Keywords:

Complex ventral hernia, Loss of domain, Component separation, Botulinum toxin A, Intraoperative fascial tension

Abstract

The field of Abdominal wall reconstruction (AWR) has become globally popular in recent years due to various advancement in techniques. However, the management of complex ventral hernias (CVH) with loss of domain demands more attention and the learning curve for even experienced surgeons can be very high. The component separation techniques are widely used for complex ventral hernia repairs. Loss of domain hernias may require the necessity of combining component separation with other newer techniques such as Botulinum toxin A(BTA) administration and Fasciotens device. In this paper we highlight an interesting case of LOD hernia utilizing these techniques.

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Author Biography

Premkumar Balachandran, Institute of Hernia Surgery and Abdominal Wall Reconstructions, Apollo Hospitals, Chennai, Tamil Nadu, India

Dr. BALACHANDRAN PREMKUMAR

MBBS, MS, FRCS(Glas), M.MAS(UK), FICS,

FICRS, FIAGES, FAMASI, Dip. ALS, FALS

Senior Consultant Surgeon & Coordinator

Dept. of General, Gastrointestinal and Bariatric surgery

Apollo Speciality Hospital - OMR Chennai

Clinical Lead - Institutes of Hernia Surgery &

Abdominal Wall Reconstruction, Apollo Hospitals - Chennai

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