Abstract
We report a case of incarcerated incisional hernia after a previous appendectomy that was repaired using a Composix™ Kugel Patch (CKP). A 76-year-old woman was admitted to our hospital complaining of low abdominal pain. An appendectomy had been performed 64 years earlier. The patient was diagnosed as having an incarcerated incisional hernia based on the results of a physical examination, a blood examination, an abdominal X-ray, and computed tomography (CT) findings. Since the abdominal X-ray and CT findings also showed a dilatation of the small intestine, an ileus tube was inserted before the operation. An emergency operation was then performed. The procedure included a partial ileal resection of the strangulated bowel and repair of the wall defect using a CKP. The postoperative course was uneventful. Hernia recurrence had not occurred as of 5 months after the operation. This case suggests that appropriate repair of incarcerated incisional hernias using CKP is feasible.
