Work

Huge Abdominal Wall Reconstruction in a Complicated Inguinal Hernia

Year: 2025

Type: article

Abstract: Inguinal hernia repair is a common surgery that can result in incarceration in somecases. Catastrophic events may be encountered in specialized circumstances, such asFournier’s gangrene, which is an emergent condition. Treatment of debrided skin ofthe abdominal wall is always challenging, particularly in large defects.A 69-year-old man suffered from complications following inguinal hernia repair,which included laparoscopic mesh repair, subsequent right hemicolectomy withanastomosis, leading to ileostomy, Fournier’s gangrene, and eventually a large skindefect in the lower abdomen and perineal area. After multiple sessions of woundtherapy, he underwent abdominal wall reconstruction with two large pedicledanterolateral thigh flaps.Anterolateral thigh flaps, with their robust blood supply, can easily reach the lowerabdomen and cover extensive abdominal skin defects when transferred bilaterally.Level of Evidence: Level V, therapeutic study

Source: Case Reports in Clinical Practice

DOI: 10.18502/crcp.v9i5.18452

Authors: Hosseinali Abdolrazaghi, Hossein Zabihi Mahmoudabadi, Alireza Naghdipur, Hojjat Molaei

Institutions: Sina Hospital, Tehran University of Medical Sciences, Imam Khomeini Hospital

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409647023

FWCI:

Cites:

Cited by:

Related to: 10