J Korean Soc Traumatol.  2009 Jun;22(1):119-122.

Traumatic Abdominal Wall Hernia (TAWH): Repair by using a Prolen Mesh

Affiliations
  • 1Department of Surgery, Gachon Medical University, Gil hospital, Incheon, Korea. mc@gilhospital.com

Abstract

Traumatic abdominal wall hernia after blunt abdominal trauma is rare. The prevalence of traumatic abdominal wall hernia in published series is approximately 1%. Recently, by the use of computed tomography has increased the number of occult traumatic abdominal wall hernias (TAWH). A 47-year-old woman presented to the emergency room soon after a traffic accident. She was fully conscious and complained of diffuse, dull, abdominal pain. She had a seat belt on at the time of the accident. Initial computed tomography showed that the lower left abdominal wall had a defect and that a part of the small bowel had herniated through the defect. During the operation, we made an incision at the defect site and confirmed the defect. The defect size was about 15x5 cm. The muscle layers were repaired in layers with absorbable sutures. Prolen mesh was layed down and fixed on the site of the repaired muscle defect. After 6 months, hernia had not recurred, and no weakness of the repaired abdominal wall layers was identified. The patient`s postoperative body functions were normal.

Keyword

Traumatic abdominal wall hernia; Prolen mesh

MeSH Terms

Abdominal Pain
Abdominal Wall
Accidents, Traffic
Emergencies
Female
Hernia
Humans
Middle Aged
Muscles
Prevalence
Seat Belts
Sutures
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