Skip to main content
SpringerLink
Log in

Massive paraumbilical hernia: not all is as it seems

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

We discuss the management of an otherwise healthy obese patient who presented with a massive paraumbilical hernia extending into a large lymphoedematous abdominal apron. After anaesthetic assessment and abdominal computed tomography (CT), the patient underwent an elective operation. The hernia was dissected free of the heavy lymphoedematous apron with the aid of orthopaedic pins and a motorised patient lifter. Despite the size of the hernia, the primary defect was found to be relatively small and easy to reduce. The defect was repaired with a sublay Proceed® mesh and skin closure was achieved primarily. The patient had an uneventful post-operative course and gained significant improvement in her mobility.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Cassar K, Munro A (2002) Surgical treatment of incisional hernia. Br J Surg 89:534–545

    Article  PubMed  CAS  Google Scholar 

  2. Trivellini G, Bagni CM, Sollini A, Senni M, Leone S, Contessini Avesani E (2001) Repair of giant hernias using more prosthesis. Hernia 5:124–128

    Article  PubMed  CAS  Google Scholar 

  3. Paajanen H, Laine H (2005) Operative treatment of massive ventral hernia using polypropylene mesh: a challenge for surgeon and anesthesiologist. Hernia 9:62–67

    Article  PubMed  CAS  Google Scholar 

  4. Reichenberger MA, Stoff A, Richter DF (2008) Dealing with the mass: a new approach to facilitate panniculectomy in patients with very large abdominal aprons. Obes Surg 18:1605–1610

    Article  PubMed  Google Scholar 

  5. Manahan MA, Shermak MA (2006) Massive panniculectomy after massive weight loss. Plast Reconstr Surg 117:2191–2197

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

Mr. Gary Allen, theatre orderly, whose idea it was to use the patient-lifting device. Mr. Lynton Emerson and Mr. David Summerhayes, Department of Medical Illustration and Media.

Conflict of interest statement

None of the authors have a financial interest in the outcome of this study. The study was not sponsored by a commercial entity.

Author information

Authors and Affiliations

  1. Department of Surgery, Flinders Medical Centre and Flinders University, Bedford Park, Adelaide, SA, 5042, Australia

    J. Chisholm & N. R. Dean

Authors
  1. J. Chisholm
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. R. Dean
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. R. Dean.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chisholm, J., Dean, N.R. Massive paraumbilical hernia: not all is as it seems. Hernia 15, 333–337 (2011). https://doi.org/10.1007/s10029-010-0645-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-010-0645-4

Keywords

Search

Navigation