Swiss Cheese Configuration of Incisional Hernia following Trauma: Role of Open Sublay Mesh Repair

Incisional hernia is a frequent postoperative complication following laparotomy, often associated with significant morbidity and recurrence. We present the case of a 47-year-old male with a history of blunt abdominal trauma and prior exploratory laparotomy, who presented with multiple anterior abdominal wall defects. Clinical examination and imaging confirmed a "Swiss cheese" configuration of incisional hernias. Elective open sublay mesh repair using the Rives-Stoppa technique was performed. The postoperative period was uneventful. This case highlights the importance of meticulous imaging and tailored surgical planning in complex hernias.