V-053 USE OF ABDOMINAL FASCIA TRANSPLANTATION FOR COMPLEX GIANT INCISIONAL HERNIA AFTER LIVER TRANSPLANT

Abstract Incisional hernias are a well-known complicationafter liver transplantation, with an incidence of up to 15%. Conventional closure techniques such as synthetic or biological meshes do not have proper results, probably due variety factors including tension in definitive wall and the use immunosuppressive drugs that can cause necrosis wound infection. Alternative complete abdominal fascia transplantation sometimes be needed. We present case 57-year-old man history HCV Cirrhosis, Portal Thrombosis Pulmonary Hypertension. The patient developed hernia Mercedes scar large fascial defect caused him pain obstructive symptoms. Surgical intervention was performed for repair. During surgery, aponeurotic identified ring 25×15cm associated adhesion syndrome within hernial sac. sac released, followed by release anterior aponeurosis peritoneal closure. An transplant from 56-year-old donor after graft had been preserved 10 days Celsior® at 4°. placed cover sutured edges recipient's fascia, using 4 interrupted 2-0 polypropylene non absorbable stitches. This patient's loss domain cavity, existing vascular complications, were more than sufficient reasons choose this technique. postoperative course uneventful, but bulging during follow-up, without any additional complications.