A multidisciplinary team at CK Birla Hospitals, CMRI, Kolkata successfully managed a challenging case of recurrent ventral hernia with loss of domain by adopting a staged surgical strategy that prioritized metabolic optimization before definitive abdominal wall reconstruction. The 47-year-old woman had been living with a progressively enlarging recurrent ventral hernia for nearly a decade after a previous repair failed. At presentation, she had a BMI of 49 along with type 2 diabetes, hypertension, and hypothyroidism, making immediate reconstruction a high-risk option because of the increased likelihood of wound complications, recurrence, and postoperative respiratory issues. Rather than proceeding directly to hernia repair, Dr.
Sarfaraz J. Baig, Senior Consultant in GI Surgery, and his team first performed a laparoscopic sleeve gastrectomy. Over the following seven months, the patient…
