Treatment of giant strangulated ventral hernia complicated with anaerobic non-clostridial phlegmon of the anterior abdominal wall, purulent-necrotic fasciitis and cellulitis

Abstract

The article presents the case of development of anaerobic non-clostridial phlegmon of the anterior abdominal wall, phlegmon of the hernial sac because of the perforation of the small intestine in the hernial sac due to its entrapment in an elderly patient with severe concomitant pathology. The course of the disease, the management of the patient and surgical treatment are described in detail. The given example is interesting because despite the wide availability of qualified medical care in a big city, there are still rare and severe complications of ventral hernias in clinical practice. Moreover, despite the significant concomitant pathology and extremely serious condition of the patient, we carried out stage-by-stage surgical treatment and used the modern methods of treatment of purulent infection, such as specific antibacterial therapy and VAC-therapy (Vacuum-assisted closure), which led to full recovery of the patient.