A morbidly obese patient with large incisional hernia managed with posterior compartment separation sub-lay mesh placement


  • Sandeep Verma Department of General Surgery, PGIMS, Rohtak, Haryana, India
  • Vidit Department of General Surgery, PGIMS, Rohtak, Haryana, India
  • Rituparna Chatterjee Department of Emergency Medicine, SPS Hospitals, Ludhiana, Punjab, India
  • Bhavinder K. Arora Department of General Surgery, PGIMS, Rohtak, Haryana, India




Large incisional hernia, Retrorectus, Transverse abdominis release, Surgical site infection


Most of the incisional hernias are diagnosed in first 3 years after the major abdominal surgery but some may take 9-10 years before the presentation after surgery. Risk factors to develop incisional hernia includes patient factors; advanced age, hypertension, diabetes, obesity, anemia, smoking, chronic obstructive pulmonary disease (COPD), immunosuppression, previous coronary intervention, renal disease requiring dialysis, recent weight loss and malnutrition. Surgery related risk factors includes intraoperative complication, suture technique, surgical site infections, fascial dehiscence and other postoperative complications. We are presenting of large incisional hernia, which have managed with posterior compartment separation. Large incisional ventral hernias following abdominal surgeries can pose significant challenges in management and quality of life for both patients. The Rives-Stoppa repair technique provides authentic and essential solution for management of large complex ventral hernias with reducing the risk of recurrence and providing long-term support to the abdominal wall.  


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