Using a modified component separation technique and polypropylene mesh for large hernia with stoma: A case report

Abstract

Introduction: Ventral hernias result from the failure of abdominal wound closures along previously created surgical incisions, and occur in 10–20% of cases. The ventral hernia can be caused by several factors. The only definitive treatment for a ventral hernia is surgery. The component separation technique is a useful method for reducing tissue tension through the use of a myofascial advancement flap. Case Report: A 67-year-old man who had undergone a radical cystectomy, with an ileal conduit urinary diversion, complained of a protruding mass on his laparotomy scar. Computed tomography revealed a presence of a 12-cm defect of the abdominal wall. Unilateral component separation method was performed at the opposite stoma site, and polypropylene mesh was used in the onlay method to provide reinforcement.
Conclusion: In case of a large ventral hernia with a stoma, unilateral component separation technique and polypropylene mesh can be useful treatment method.