WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Shirish Bhagvat, Amol Wagh, Dinesh Goswami, Akshay Kadam*, Ravi Teja, Shivangi Tiwari, Ashiskumar Majhi

ABSTRACT

Incisional hernia occurs in 11-23% of laparotomy cases. Incisional hernia Complicates only 2%-10%. Incisional hernia eviscerates spontaneously very rarely; but imposes serious threat to patient’s bowel and life when they eviscerate. It demands emergency surgery, to prevent further obstruction, strangulation of bowel and to cover its contents. The hernial contents can be covered primarily by mesh repair if the general condition of the patient and local condition of the operative site allows or can be covered by skin followed by delayed mesh repair. We report case of 58 years old male with history of spontaneous evisceration of bowel after bout of cough. Emergency laparotomy with hernia repair done after primary resuscitation. Neglect for early operative intervention or delay in seeking the treatment for an incisional hernia increases the risk of rupture.