Incarcerated Incisional Hernia Following Drain Placement: A Case Report
Küçük Resim Yok
Tarih
2026
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bilecik Şeyh Edebali Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Incisional hernia is one of the most common long-term complications following abdominal surgery. Although it is typically associated with laparotomy incisions, hernia formation may rarely occur at previous drain insertion sites. We report the case of an 85-year-old woman who had undergone emergency surgery for an incarcerated umbilical hernia seven months earlier, during which a surgical drain was placed. She presented to the emergency department with abdominal pain, nausea, and vomiting. Imaging studies demonstrated an incarcerated small bowel loop at the former drain site. Emergency laparotomy was performed. Approximately 3500 mL of ascitic fluid was evacuated, the hernia sac was excised, and the fascial defect was repaired using primary suturing with Prolene®. No ischemic bowel was identified. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. Incisional hernia may rarely develop at previous drain insertion sites, particularly in patients with predisposing factors such as cirrhosis and ascites. Early surgical intervention is essential to prevent severe complications. In cirrhotic patients, primary repair may represent a safer alternative to mesh hernioplasty due to the increased risk of mesh-related complications.
Açıklama
Anahtar Kelimeler
Drain Complication, Incarceration, Incisional Hernia
Kaynak
Anatolian Journal of Medical Sciences
WoS Q Değeri
Scopus Q Değeri
Cilt
2
Sayı
1
