Authors : Dr. Mihir Dungrani; Dr. Binoy Bahera; Dr. J. G. Vagadia; Dr. Jatin G Bhatt

Volume/Issue : Volume 9 - 2024, Issue 6 - June

Google Scholar : https://tinyurl.com/mtz3x53a

Scribd : https://tinyurl.com/2d8bmcck

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUN481

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Abstract : Introduction: Development of hernia over previously inserted port site is common complication of laproscopic abdominal surgeries, so treatment needs to be done accordingly especially in comorbid patients.  Presentation of case: We discuss the case of 73 year old woman visited our surgery OPD with complaints of abdominal pain and vomiting. On physical examination, a swelling of approx. 6cm x 3cm size was visible and palpated on coughing and straining.  Clinical discussion: A laparoscopic IPOM procedure was utilized as our patient was experiencing multiple comorbidites (implying that the chances of postoperative wound contamination was high), and since she was taking antithrombotic drugs, a surgical technique with an insignificant dissection and minimal bleeding was the most suitable.  Conclusion: When fixing incisional hernias in a patient with multiple comorbidities, techniques like IPOM Plus with minimal bleeding and dissection becomes most suitable.

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