CASE REPORT
General Surgery
doi: 10.25005/2074-0581-2025-27-3-790-796
COMPLEX CLINICAL SCENARIOS IN ABDOMINAL SURGERY: A CASE REPORT

F.B. BOKIEV1, M.KH. MALIKOV2, A.D. GAIBOV2, N.A. MAKHMADKULOVA3

1Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases No. 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
3Department of Topographic Anatomy and Operative Surgery named after Professor M.K. Karimov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

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.

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References
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Authors' information:

Bokiev Fatkhullo Bakhhshuloevich,
Candidate of Medical Sciences, Surgeon at the Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: ABD-4776-2020
ORCID ID: 0000-0003-2807-2324
SPIN: 5254-1132
E-mail: fathullo-@mail.ru

Malikov Mirzobadal Khalifaevich,
Doctor of Medical Sciences, Full Professor, Head of the Department of Surgical Diseases No. 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University Researcher ID: ABG-2983-2021
Scopus ID: 21934165100
ORCID ID: 0000-0002-7816-5521
Author ID: 375497
E-mail: mmirzobadal@mail.ru

Gaibov Alidzhon Dzhuraevich,
Corresponding Member of National Academy of Sciences of Tajikistan, Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases No. 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
Researcher ID: AAC-9879-2020
Scopus ID: 6602514987
ORCID ID: 0000-0002-3889-368X
SPIN-код: 5152-0785
Author ID: 293421
E-mail: gaibov_a.d@mail.ru

Makhmadkulova Nigora Akhtamovna,
Candidate of Medical Sciences, Assistant of the Department of Topographic Anatomy and Operative Surgery named after Professor M.K. Karimov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-4269-6611
E-mail: malikovanigora@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Bokiev Fatkhullo Bakhhshuloevich
Candidate of Medical Sciences, Surgeon at the Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Sanoi str., 33

Tel.: +992 (918) 843248

E-mail: fathullo-@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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