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[An inveterate incarceration of an umbilical hernia treated by radical excision].

The authors describe the case-history of an elderly female patient with an inveterate incarcerated relapsing umbilical hernia. The patient's age, and obviously also associated diseases, were the cause of subjective underrating of the severity of the condition, late admission to hospital and surgical intervention. The syndrome of advanced ileus had already developed as well as local changes complicating or rather making classical surgical treatment impossible. The applied technique which can be described as "no touch" with regard to the hernia and its contents is considered as one of the dominating features of successful treatment. The second dominating feature is a satisfactory interdisciplinary collaboration in treating the condition which at first appeared infaust.