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Incarcerated massive incisional hernia: extensive necrosis of the colon in a very obese patient. Surgical treatment and vacuum-assisted closure therapy: a case report

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Abstract

We discuss a diabetic obese patient with an extensive necrosis of the ascending and transverse colon plus segmental necrosis of the small bowel incarcerated in a massive median incisional hernia below the umbilicus. After a blood test and an abdominal CT scan (without contrast dial), the patient underwent an urgent operation. We performed an extended right hemicolectomy, multiple segmental small bowel resections and a terminal ileostomy. The defect of the abdominal wall was treated with vacuum-assisted closure (VAC) therapy with good results.

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Authors and Affiliations

  1. Chirurgia I – Onco-Gastro-Surgical Departement, A.O. Luigi Sacco – Università degli Studi di Milano, Via G.B.Grassi 74, 20157, Milano, Italy

    G. Montecamozzo, E. Leopaldi, C. Baratti, P. Previde, F. Ferla, M. Pizzi, J. Sposato, D. Pariani, A. Sartani & E. Trabucchi

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  1. G. Montecamozzo
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  2. E. Leopaldi
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  3. C. Baratti
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  4. P. Previde
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  5. F. Ferla
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  6. M. Pizzi
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  7. J. Sposato
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  8. D. Pariani
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  9. A. Sartani
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  10. E. Trabucchi
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Corresponding author

Correspondence to F. Ferla.

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Montecamozzo, G., Leopaldi, E., Baratti, C. et al. Incarcerated massive incisional hernia: extensive necrosis of the colon in a very obese patient. Surgical treatment and vacuum-assisted closure therapy: a case report. Hernia 12, 641–643 (2008). https://doi.org/10.1007/s10029-008-0370-4

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  • DOI: https://doi.org/10.1007/s10029-008-0370-4

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