Massive ventral hernia with loss of domain and skin necrosis presenting as a large mass
Author(s): Dr. Keval R Dhone and Dr. Rajiv K Sonarkar
Abstract: A ventral hernia with loss of domain is a challenging clinical scenario. We present a case of a 55-year-old female with a massive ventral hernia exhibiting loss of domain and significant skin necrosis. Surgical management involved extensive debridement, the components separation technique for tension-free reduction of herniated contents, and the placement of a synthetic mesh for abdominal wall reconstruction. Postoperatively, split-thickness skin grafts and negative pressure wound therapy were utilized. Intensive postoperative care included monitoring, targeted antibiotic therapy, and strict glycemic control. Despite a complicated recovery with an initial wound infection, the patient achieved satisfactory healing at a 1-year follow-up. This case underscores the efficacy of a multidisciplinary approach in complex hernia management.
Dr. Keval R Dhone, Dr. Rajiv K Sonarkar. Massive ventral hernia with loss of domain and skin necrosis presenting as a large mass. J Case Rep Sci Images 2024;6(2):26-27. DOI: 10.22271/27080056.2024.v6.i2a.92