PMC7268164_01
Granulation tissue before the skin graft.
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Due to the severity of the case and his long hospital stay, the surgical team opted to close the abdominal wall by second intention, as the wound had a good amount of granulation tissue and a good overall aspect (Figure 1).
The ventral incisional hernia.
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However, the patient presented an incisional ventral hernia (Figure 2) with a longitudinal diameter of 10.3 cm and a transverse diameter of 5.4 cm.
The Alcino-Lazaro technique.
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He was then submitted to a herniorrhaphy according to the Alcino-Lazaro technique (Figure 3), since the public health service of Brazil does not cover the cost for mesh.
Immediate post-op of the ventral hernia.
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The surgery was uneventful and the hernia was successfully operated (Figures 4 and 5).
Late post-op of the ventral hernia.
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The surgery was uneventful and the hernia was successfully operated (Figures 4 and 5).