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ISSN: Print -2349-0977, Online - 2349-4387
CASE SERIES IN POINT - CLINICS IN SURGERY
Year : 2018  |  Volume : 4  |  Issue : 4  |  Page : 256-258

Management of posttraumatic abdominal hernia


Department of General Surgery, Pandit Deendayal Upadhyay Medical College and Hospital, Rajkot, Gujarat, India

Correspondence Address:
Ajay Rajyaguru
Department of Surgery, P. D. U. Medical College and Hospital, Rajkot - 360 001, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/astrocyte.astrocyte_38_17

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Introduction: Traumatic abdominal wall hernias (TAWHs) are extremely uncommon type of abdominal wall hernia as far as the etiology is concerned. Materials and Methods: We encountered 10 cases of TAWHs during a period of 5 years at the PDU Medical College. The study duration of 5 year included 1 year of follow up for wound dehiscence and incisional hernia. After routine investigations all undergone primary surgical treatment under spinal or general anaesthesia. All the patients were discharged successfully without any major complication. Discussion: TAWH should be suspected in a patient with tender, localized swellings of the abdominal wall following blunt trauma. USG and computed tomography of the abdominal are the helpful investigations to diagnose the hernia and associated intra-abdominal injuries. In all cases of wall defects with bowel herniation, one must take up urgent surgical measures to prevent further bowel injury and to avoid complications. Incisions directly over the defects, instead of midline incisions are preferred for proper repair of the defect. Mesh repair is desirable in the elderly with weak anterior abdominal wall so as to prevent the long-term complications of recurrences.


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