COMPLEX CLINICAL SCENARIOS IN ABDOMINAL SURGERY: A CASE REPORT

This article describes a clinical case involving the successful repair of a giant postoperative hernia in the anterolateral abdominal wall of a female patient. The hernia developed following an emergent laparoscopic cholecystectomy that was complicated by bile duct injury and peritonitis. During the initial surgery, several technical and tactical errors occurred, resulting in serious complications. The patient subsequently underwent multiple complex reconstructive surgeries on the bile ducts, leading to a lengthy recovery period. Postoperative infections contributed to the formation of the giant hernia. The patient experienced persistent pain in the hernia area, alongside dyspeptic symptoms, discomfort, and physical limitations, which impacted the quality of life, prompting her to seek surgical intervention. A satisfactory treatment outcome was achieved using an appropriate abdominal wall reconstruction technique that considered the pathological changes in the muscular-aponeurotic layer. The implementation of a tension-free hernioplasty technique emerged as the only viable option, which significantly improved the patient's overall quality of life. No recurrence of the hernia was observed during the follow-up period. Keywords: Calculous cholecystitis, laparoscopic cholecystectomy, bile duct injury, abdominal hernia, hernioplasty, tension-free hernioplasty, clinical case.