Post-operative scars on the abdomen may predispose to the occurrence of ventral hernia through any musculofascial defect, which usually develops in the early postoperative period and is generally neglected or unnoticed, often leading to large incisional hernias with complications like dermatitis and ulceration of overlying skin, recurrent sub-acute intestinal obstruction and strangulation of bowel. Of all hernias, an incisional hernia can be the most challenging to treat. Although it is a very common complication of wound healing after surgery, it has been rarely found to develop after open cholecystectomy. We present a case series of four patients with an incisional hernia after open cholecystectomy done via Kocher incision who were diagnosed pre-operatively with the help of radiological investigations, following which laparotomy with mesh hernioplasty was done as a definitive treatment.
Key words: Incisional hernia, cholecystectomy, bowel obstruction, ventral hernia
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