CASE: Old age Huge Recurrent strangulated incisional hernia + HTN + IHD + Obesity^-www.drkeyurbhatt.in*

72 yrs female with Huge Recurrent strangulated incisional hernia + HTN + IHD + Obesity
came with acute onset vomiting , fever, distension, constipation, tachycardia
Past history: Lap chole and paraumbilical hernia repair 1.5 yrs back. (mesh plasty, lap)

CECT:

SURGERY:

anterior abdominal wall had total 11 defects all transmiting bowel

Discharged after 7 day.

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