21/07/2025
“Survival isn't luck — it's science, skill, and swift action.”
A 60 Year-old lady with multiple co-morbidities ( DM, HTN, hypothyroidism) came to us in the emergency department with obstructed incisional hernia with clinical signs of peritonism (suspected underlying bowel ischemia).
She had been living with an incisional ventral hernia for almost 10 years following a Total Abdominal Hysterectomy (TAH) — but this time, things had taken a dangerous turn.
We rushed her for an emergency exploratory laparotomy. Intra-operatively, we found a shocking picture — nearly two-thirds of her small intestine was gangrenous, twisted and non-viable due to the long-standing obstructed hernia.
What we did:
1.All the gangrenous part of bowel was resected.
2.Two healthy ends were identified and anastomosed at two sites.
3.Abdomen was closed after ensuring good perfusion and stability
The surgery was high-risk. The patient was elderly, anemic, with multiple co-morbidities and in sepsis. But thanks to the dedicated efforts of the entire team — she survived. Recovery was slow but steady.
A message to all -
1.Incisional hernias are not just cosmetic or minor issues. Left untreated, they can lead to life-threatening complications like obstruction and bowel gangrene.
2.If you or someone you know has a swelling at or near a surgical scar, don't ignore it. Seek surgical advice before it turns into an emergency.