Management of a nine litre abdominal wall seroma post ventral hernia repairs: A case report.

INTRODUCTION

seromas are a common and challenging complication post mesh hernia repairs (Morales-Conde, 2012; Salamone, 2015; Vasilakis, 2014).

PRESENTATION OF CASE: A 52-year-old male was referred to General Surgery with a large abdominal mass in the setting of morbid obesity and multiple abdominal operations culminating in a ventral hernia repair seven years prior. He had no other abdominal symptoms or malignancy red flags. Imaging demonstrated a large, complex anterior abdominal wall seroma of 40 × 25 × 20 cm. No seromas of this size and location have been reported in the literature.

DISCUSSION: Surgical management required drainage, partial capsulectomy and scarification of the remnants with multidisciplinary team involvement for recovery including general surgeons, anaesthesia, intensivists and allied health professionals.

CONCLUSION

The patient recovered well from his operation.