Abdominal wall necrosis after incisional hernia repair in an obese diabetic patient

Tissue repair is a complex and multifactorial organic process, intrinsically related to the health condition of individuals. Systemic pathologies such as hypothyroidism, Diabetes Mellitus (DM) and advanced age have a direct and indirect impact on the chain of physiological processes that make up tissue proliferation and healing. In patients with these comorbidities, especially when they are associated, the mechanism of tissue healing can be compromised and delay their post-operative recovery. The aim of this article is to report a clinical case of an elderly patient, affected by the aforementioned comorbidities, who underwent surgery for numerous abdominal hernias and evolved unfavorably in the postoperative period, with extensive necrosis of the abdominal wall.