Blunt traumatic abdominal wall hernias

Honaker, Drew; Green, John

doi:10.1097/ta.0000000000000431

Cited by 40 publications

(56 citation statements)

References 15 publications

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“…The isolated incidences of TDR and TAWH and following blunt trauma are reported to be 0.2–1.9 % [ 2 – 4 ] and 0.9–17 % [ 5 – 7 ], respectively. However, the true incidence may be underestimated because of under- or misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…However, the true incidence may be underestimated because of under- or misdiagnosis. The most common mechanism of injury leading to TDR and TAWH is a motor vehicle accident [ 1 , 2 , 5 , 7 , 8 ], with injury sustained following high-energy transfer. The other mechanism of injury described in TAWH is low-energy injury caused by a small blunt object, resulting in small defects [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…TDR and TAWH rarely occur in isolation and are associated with other injuries, such as head, chest, abdominal, pelvic, and extremity injuries [ 3 – 7 ]. In TDR, thoracic aortic tear has also been reported [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Undoubtedly, surgical repair is the management of choice, as the defects in TDR and TAWH, no matter how small, will not heal spontaneously. However, the optimal timing of repair (prompt vs. delayed) has not been thoroughly investigated in the literature [ 5 , 7 ]. While death and significant morbidity are rarely associated with delayed diagnosis [ 1 , 4 , 5 , 7 ], there have been reports of complications such as bowel herniation, incarceration, and strangulation [ 3 , 7 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report

et al. 2016

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BackgroundTraumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported.Case presentationA 32-year-old Indian man was brought to our emergency department after being involved in a road traffic accident. He described a temporary loss of consciousness and had multiple tender bruises at his right upper anterior abdominal wall and left lumbar region. An initial examination revealed blood pressure of 99/63 mmHg, heart rate of 107 beats/minute, and oxygen saturation of 93 % on room air. His clinical parameters stabilized after initial resuscitation. A computed tomographic scan revealed a rupture of the left diaphragm as well as extensive disruptions of the left upper anterior abdominal wall. We performed exploratory laparoscopic surgery with the intention of primary repair. The diaphragmatic and abdominal wall defect was primarily closed, followed by reinforcement with PROLENE onlay mesh. The patient’s postoperative recovery was complicated by infected hematomas over both flanks that were managed with ultrasound-guided percutaneous drainage. He was discharged well despite a prolonged hospital stay.ConclusionsWe present a complex form of injuries managed successfully via a laparoscopic approach. Meticulous attention to potential complications in both the acute and convalescent phases is important for achieving a successful outcome following surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report

et al. 2016

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“…Blunt mechanisms of trauma resulting in abdominal wall hernia are uncommon, accounting for only 1% of all blunt trauma admissions [ 2 ]. The optimal timing and type of hernia repair has not been defined [ 3 ] We present the case of a patient presenting with a traumatic lumbar hernia which was repaired laparoscopically during the index hospitalization.…”

Section: Introductionmentioning

confidence: 99%

The early laparoscopic repair of a traumatic lumbar hernia: safe and successful

Kaminski

Diamond

2017

Journal of Surgical Case Reports

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Abdominal wall hernias are a rare but important consequence of blunt trauma. The optimal timing and the method of repair are not well described in the current surgical literature. Advances in laparoscopic techniques have offered new options for treatment of this problem. We describe the case of a 43-year-old man who suffered a blunt traumatic lumbar hernia. He was taken to the operating room during his initial hospitalization where a laparoscopic repair was performed with the additional implantation of prosthetic mesh. His post-operative course was uneventful. In selected cases, early operative repair may be appropriate and result in improved outcomes.

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