Combined surgical treatment of a pinched, unrecoverable, ventral hernia of the anterior abdominal wall and retroperitoneal tumor: a case from the practice of a district surgeon

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Abstract

The study presents the results of the combined surgical treatment of a pinched, unrecoverable ventral hernia of the anterior abdominal cavity, resection of a non-viable pinched loop of the small intestine, and side-to-side anastomosis and removal of a large retroperitoneal tumor. The latter required an incision of the anterior abdominal wall along the white line of the abdomen, from the xiphoid process of the sternum, to the upper border of the pubis, with subsequent plastic surgery of the hernial gate with local tissues.

About the authors

Sergey D. Fokeev

Altai State Medical University

Author for correspondence.
Email: fokeev.sergey@yandex.ru
ORCID iD: 0000-0002-1157-6692
SPIN-code: 9609-0896

Dr. Sci. (Med.), associate professor

Russian Federation, Barnaul

Stanislav Yu. Kapitulin

Altai State Medical University

Email: stass0331429@mail.ru
ORCID iD: 0000-0001-8131-3161
SPIN-code: 1217-0508

Cand. Sci. (Med.), associate professor

Russian Federation, Barnaul

Alexander F. Lazarev

Altai State Medical University

Email: lazarev@akzs.ru
ORCID iD: 0000-0003-1080-5294
SPIN-code: 1161-8387

Dr. Sci. (Med.), professor

Russian Federation, Barnaul

References

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  2. Kharchenko VP, Chkhikvadze VD, Sdvizhkov AM, et al. Surgical and combined treatment of mesenchymal retroperitoneal tumours. Vestnik of the Russian Scientific Center of Roentgenoradiology. 2011;(7). Available from: http://vestnik.rncrr.ru/vestnik/v11/papers/abdul_v11.htm (In Russ).
  3. Rasulov RI, Dvornichenko VV, Muratov AA, Mozgunov DI. Primary retroperitoneal tumors: past and present (the literature review). Siberian Medical Journal (Irkutsk). 2015;138(7):5–14. (In Russ).
  4. Fletcher CDM, Unni KK, Mertens F, editors. World Health Organization Classification of tumors. Pathology and genetics of tumors of soft tissue and bone. Lyon: IARC Press; 2002.
  5. Babajan LA. Neorgannye zabrjushinnye opuholi. In: Izbrannye lekcii po klinicheskoj onkologii. Moscow; 2000. P. 420–436. (In Russ).
  6. Vashakmadze LA, Butenko AV, Sidorov DV, Cheremisov VV. Repeated operations in primary and recurrent non-organ tumors of the retroperitoneal space. Oncosurgery. 2008;(1):38. (In Russ).
  7. Afanasyev SG, Augustinovich AV, Usynin EA, et al. A case of successful treatment of giant retroperitoneal mixolipoma. Siberian Journal of Oncology. 2009;(3):79–82. (In Russ).

Supplementary files

Supplementary Files
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2. Fig. 1. Unrecoverable, pinched ventral hernia.

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3. Fig. 2. Necrosis of the small intestine in the area of infringement.

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4. Fig. 3. Mobilization of retroperitoneal tumor.

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Copyright (c) 2021 Fokeev S.D., Kapitulin S.Y., Lazarev A.F.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


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