Perioperative Management And Risks With Delayed Hernia Repair
A 55 year old morbidly obese male had a scheduled repair of ventral hernia delayed due to preoperative UTI with leukocytosis. With this delay in operative treatment, he developed multiple complications of hernia strangulation necessitating emergent resection of the necrotic bowel. The patient developed multiple postoperative complications, including AKI, anemia, sepsis and acute hypoxic respiratory failure and leading to a mixed respiratory and metabolic acidosis but ultimately survived. With this case we will discuss the risks of delayed hernia repair, and perioperative management of the patient with dead bowel.
Carney C, Constantinescu S, Soto R, Fowler J. Perioperative management and risks with delayed hernia repair. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.