Traumatic abdominal wall hernia secondary to seatbelt injury: a case successfully managed by delayed surgical mesh repair and complicated by intervening pregnancy

Makaranka, Stanislau; Hever, Pennylouise; Cavale, Naveen

doi:10.1136/bcr-2018-224880

Cited by 3 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 1 In a series of 1459 patients who underwent abdominal/pelvic computed tomography (CT) scans for blunt trauma, 14 patients (0.96%) were found to have a defect of all 3 abdominal musculofascial layers, with or without herniation of abdominal contents. 2 Described mechanisms of injury include handlebars, 3 – 15 seatbelts, 16 – 20 falls, 21 , 22 bullhorns, 21 , 23 and other blunt injuries. 24 – 27 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Simplified Repair of Traumatic Iliac Crest Flank Hernias with Mesh Strips

Kearney

Dumanian

2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Traumatic abdominal wall hernias are rare injuries resulting from blunt abdominal trauma. Traditional approaches have included both open and laparoscopic approaches, with placement of large meshes with giant overlaps. Perhaps the most technically difficult aspect of these repairs is fixating the abdominal wall to the iliac crest. The senior author has developed a method of repair using 2-cm strips of mesh. In this article, we present a description of 4 patients treated with this technique. Methods: We included 4 adult patients who underwent traumatic flank hernia repairs by the senior author. We excluded incisional hernias and patients who received a planar sheet of mesh. Demographics and outcomes collected included length of stay, follow-up time, and complications. Results: The average age was 38.5 years. Three hernias were due to motor vehicle collision injuries, and 1 was a crush injury at work. No planar meshes or bone anchors were used. No patients required component separation. There were no instances of surgical site infection, hematoma, or wound breakdown. All repairs were intact at the time of last follow-up (average, 24.3 months; range, 4–48.7 months). Conclusions: Traumatic flank hernias are rare injuries that can be difficult to address. Here, we describe a technique of primary repair with mesh strips that distribute the forces of repair across a greater surface area than can be achieved with sutures. Placing drill holes through the iliac crest avoids the cost and complexity of suture anchors.

show abstract

Section: Introductionmentioning

confidence: 99%

“… 7 Meshes used in repair have included both synthetic 45 and biologic varieties. Porcine acellular dermal matrix remains an option for this problem, 20 , 46 but human acellular dermal matrix has demonstrated a 100% one-year failure rate. 47 …”

Section: Introductionmentioning

confidence: 99%

Simplified Repair of Traumatic Iliac Crest Flank Hernias with Mesh Strips

Kearney

Dumanian

2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

Pediatric traumatic abdominal wall hernia as a component of the seatbelt syndrome: a case series and review of the literature

et al. 2021

View full text Add to dashboard Cite

Massive traumatic abdominal wall hernia with significant tissue loss: challenges in management

et al. 2021

View full text Add to dashboard Cite

A 41-year-old woman presented to our trauma centre following a high-speed motor vehicle collision with a seatbelt pattern of injury resulting in extensive rupture of her abdominal wall musculature and associated hollow viscus injuries. The abdominal wall had vertical separation between transected rectus, bilateral transverse abdominis and oblique muscles allowing evisceration of small and large bowel into the flanks without skin rupture. Intraoperatively, extensive liquefaction and tissue loss of the abdominal wall was found with significant retraction of the remaining musculature. Initial operative management focused on repair of concomitant intra-abdominal injuries with definitive repair performed in delayed, preplanned stages including bridging with absorbable mesh and placement of an overlying split-thickness skin graft. The patient was discharged from hospital and underwent extensive rehabilitation. One year later, the abdominal wall was definitively repaired with components separation and biological mesh underlay. This stepwise repair process provided her with a robust and enduring abdominal wall reconstruction.

show abstract

Traumatic abdominal wall hernia secondary to seatbelt injury: a case successfully managed by delayed surgical mesh repair and complicated by intervening pregnancy

Cited by 3 publications

References 7 publications

Simplified Repair of Traumatic Iliac Crest Flank Hernias with Mesh Strips

Simplified Repair of Traumatic Iliac Crest Flank Hernias with Mesh Strips

Pediatric traumatic abdominal wall hernia as a component of the seatbelt syndrome: a case series and review of the literature

Massive traumatic abdominal wall hernia with significant tissue loss: challenges in management

Contact Info

Product

Resources

About