{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:02:53Z","timestamp":1791378173881,"version":"4.3.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T00:00:00Z","timestamp":1692057600000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An incisional hernia (IH) is a common complication after a cesarean section (CS). Large IH mesh repair is problematic when initial fascial closure cannot be accomplished. We report the case of a large IH for 20\u00a0months after a CS with a midline vertical incision that was treated with a combination of modified peritoneal flap hernioplasty and abdominoplasty. There was a large fascia defect (15 \u00d7 21 cm) and adhesions of the omentum and the ileum to the anterior abdominal wall. CS with midline vertical incision, history of surgical site infections and obesity are risk factors that increase IH. In conclusion, this combination successfully repairs a large IH, reduces obesity, prevents recurrence and complications after hernia repair, improves the abdominal shape and patient quality of life. Abdominoplasty is also performed to create new umbilical and vascular preservation.<\/jats:p>","DOI":"10.1093\/jscr\/rjad463","type":"journal-article","created":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T01:19:30Z","timestamp":1692062370000},"source":"Crossref","is-referenced-by-count":1,"title":["Modified peritoneal flap hernioplasty and abdominoplasty in large incisional hernia after cesarean section with midline vertical incision: a case report"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-9586","authenticated-orcid":false,"given":"Ulfa","family":"Elfiah","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery , Faculty of Medicine, , Jember , Indonesia"},{"name":"University of Jember , Faculty of Medicine, , Jember , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonius Dwi","family":"Saputra","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery , Faculty of Medicine, , Jember , Indonesia"},{"name":"University of Jember , Faculty of Medicine, , Jember , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"2023081501191653400_ref1","doi-asserted-by":"crossref","first-page":"3528","DOI":"10.1007\/s00268-018-4642-6","article-title":"Risk factors for surgical complications in ventral hernia repair","volume":"42","author":"Lindmark","year":"2018","journal-title":"World J Surg"},{"key":"2023081501191653400_ref2","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1111\/ajo.12270","article-title":"Incisional hernia repair after cesarean section: a population-based study","volume":"55","author":"Shand","year":"2015","journal-title":"Aust New Zeal J Obstet Gynaecol"},{"key":"2023081501191653400_ref3","doi-asserted-by":"crossref","first-page":"e108829","DOI":"10.1371\/journal.pone.0108829","article-title":"Incidence of incisional hernia after Cesarean delivery: a register-based cohort study","volume":"9","author":"Aabakke","year":"2014","journal-title":"PLoS One"},{"key":"2023081501191653400_ref4","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1007\/s10029-020-02212-8","article-title":"European hernia society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic","volume":"24","author":"Stabilini","year":"2020","journal-title":"Hernia"},{"key":"2023081501191653400_ref5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s10029-013-1086-7","article-title":"The peritoneal flap hernioplasty for the repair of large ventral and incisional hernias","volume":"18","author":"Malik","year":"2014","journal-title":"Hernia"},{"key":"2023081501191653400_ref6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1177\/1457496919863943","article-title":"Modified peritoneal flap hernioplasty versus retromuscular technique for incisional hernia repair: a retrospective cohort study","volume":"109","author":"Petersson","year":"2020","journal-title":"Scand J Surg"},{"key":"2023081501191653400_ref7","doi-asserted-by":"crossref","first-page":"2157","DOI":"10.1007\/s00268-019-05011-0","article-title":"Peritoneal flap Hernioplasty for reconstruction of large ventral hernias: long-term outcome in 251 patients","volume":"43","author":"Nielsen","year":"2019","journal-title":"World J Surg"},{"key":"2023081501191653400_ref8","doi-asserted-by":"crossref","first-page":"4715","DOI":"10.21608\/ejhm.2018.9847","article-title":"Incisional hernia repair with abdominoplasty","volume":"72","author":"Nassem","year":"2018","journal-title":"Egypt J Hosp Med"},{"key":"2023081501191653400_ref9","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.ejogrb.2019.11.010","article-title":"Incisional hernia after cesarean section: a systematic review","volume":"244","author":"Paulsen","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2023081501191653400_ref10","first-page":"1","article-title":"HIG (SA) guidelines for the Management of Ventral Hernias Guideline the hernia interest group (HIG) of the South African Society of Endoscopic Surgeons (SASES)","volume":"54","author":"Bougard","year":"2016","journal-title":"S Afr J Surg"},{"key":"2023081501191653400_ref11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/ijawhs.ijawhs_35_19","article-title":"Obesity as a risk factor for complications and recurrences after ventral hernia repair","volume":"3","author":"Nieto","year":"2020","journal-title":"Int J Abdom Wall Hernia Surg"},{"key":"2023081501191653400_ref12","volume":"12","journal-title":"World J Emerg Surg"},{"key":"2023081501191653400_ref13","doi-asserted-by":"crossref","first-page":"353","DOI":"10.52403\/ijhsr.20210555","article-title":"Da-Silva, Malmo peritoneal flap in ventral and incisional hernia repair our experience","volume":"11","author":"Gandhi","year":"2021","journal-title":"Int J Heal Sci Res"},{"key":"2023081501191653400_ref14","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1177\/229255031202000413","article-title":"Concomitant sublay mesh repair of umbilical hernia and abdominoplasty","volume":"20","author":"Mcknight","year":"2012","journal-title":"Can J Plast Surg"}],"container-title":["Journal of Surgical Case 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