EXPLORATORY LAPAROTOMY OF STRANGULATED VOLUMOUS VENTRAL HERNIA: A CASE REPORT

• DOI: 10.22533/at.ed.1592822214126

• Palavras-chave: Ventral hernia. Mesenteric ischemia. Short bowel syndrome.

• Keywords: Ventral hernia. Mesenteric ischemia. Short bowel syndrome.

• Abstract:

  A ventral hernia is by definition a protrusion through the fascia of the anterior abdominal wall, with or without complications. This article aims to discuss a case of strangulated ventral hernia, which progressed with mesenteric ischemia, and resulted in a large resection of the intestinal loops of the jejunum and ileum and did not evolve with short bowel syndrome. Short bowel syndrome is a rare disorder, but its management requires

  information about the patient's intestinal physiology and nutritional status, so it is important to understand an individual's electrolyte and dietary needs. In this case, the remaining amount of intestine was sufficient to meet their nutritional demands, with the support of pharmacological therapy and food supplements. In addition, the support of the nutrition team contributed to the gradual transition between TPN and oral feeding, allowing better adaptation of the patient in the postoperative period, which reduced the occurrence of complications.