Resumen

BELTRAN, MARCELO A; DANILOVA, TATIANA  y  CRUCES, E.U. KARINA S. Mesh repair for spontaneous rupture of incisional hernia and evisceration: Report of one case. Rev Chil Cir [online]. 2006, vol.58, n.2, pp. 147-150. ISSN 0718-4026.  doi: 10.4067/S0718-40262006000200012.

Incisional hernias are some of the most common complications of abdominal surgery. Primary incisional hernia occurs in 2% to 20% of patients who had undergone laparotomy. The morbidity reported for these hernias is related to incarceration and strangulation. Spontaneous rupture of the skin and evisceration of the intestines through the defect is an uncommon complication. Mesh repair is the preferred technique for incisional hernia repair. We report a 81-year-old woman who presented to the emergency unit of our institution with spontaneous rupture of the skin overlying a giant midline infra-umbilical incisional hernia, and the small bowel protruding through the defect. Repair and closure of the rectus abdominal muscles were not possible. After excising the poor quality tissue of the hernia sac and the damages skin overlying the defect, the sac was closed overlapping the borders and suturing with "U" stitches. A polypropylene mesh was placed over the defect. The postoperative course was uneventful, and the patient recovered. Two years after surgery, the patient is free of complications

Palabras clave : incisional hernia; herniorrhaphy; mesh repair.