Athletic injuries of the lateral abdominal wall: review of anatomy and MR imaging appearance

The abdominal expansion (AE) strategy, involving eccentric contraction of the abdominal muscles, has been increasingly used in clinical practices; however, its effects have not been rigorously investigated. This study aimed to investigate the immediate effects of the AE versus abdominal drawing-in (AD) strategy on lumbar stabilization muscles in people with nonspecific low back pain (LBP). Thirty adults with nonspecific LBP performed the AE, AD, and natural breathing (NB) strategies in three different body positions. Ultrasonography and surface electromyography (EMG) were, respectively, used to measure the thickness and activity of the lumbar multifidus and lateral abdominal wall muscles. The AE and AD strategies showed similar effects, producing higher EMG activity in the lumbar multifidus and lateral abdominal wall muscles when compared with the NB strategy. All muscles showed higher EMG activity in the quiet and single leg standing positions than in the lying position. Although the AE and AD strategies had similar effects on the thickness change of the lumbar multifidus muscle, the results of thickness changes of the lateral abdominal muscles were relatively inconsistent. The AE strategy may be used as an alternative method to facilitate co-contraction of lumbar stabilization muscles and improve spinal stability in people with nonspecific LBP.

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Abdominal Wall Expanding System. Intraoperative Abdominal Wall Expansion as a Technique to Repair Giant Incisional Hernia and Laparostoma. New and Long-Term Results From a Three-Center Feasibility Study

Surgical Innovation ◽

10.1177/15533506211041477 ◽

2021 ◽

pp. 155335062110414

Author(s):

Dietmar Eucker ◽

Nadine Rüedi ◽

Clinton Luedtke ◽

Oliver Stern ◽

Henning Niebuhr ◽

...

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Reconstruction ◽

Long Term Results ◽

Anatomical Reconstruction ◽

Time Saving ◽

Lateral Abdominal Wall ◽

Hernia Size ◽

Midline Closure

Background The abdominal wall expanding system (AWEX) was first applied in 2012 and published in 2017. This novel technique was developed to reconstruct complex incisional hernias and residual skin-grafted laparostoma after treatment of an open abdomen, when primary midline closure was impossible. The main aim was the anatomical reconstruction of the abdominal wall and the avoidance of dissecting techniques (component separation). Methods Between 2012 and 2019, 33 patients underwent AWEX hernia repair in three certified hernia centers. The retracted abdominal wall was stretched with the AWEX system intraoperatively for approximately 30 min. Hernia size was measured preoperatively, on CT, and intraoperatively. The gain in length on the lateral abdominal wall (decrease in width of the defect) after stretching and any residual midline gap were determined in the OR. Results 33 patients underwent AWEX procedures. Six cases were evaluated separately because of additional procedures (TAR, four cases) and preoperative application of botulinum toxin (two cases). The median (95% confidence interval) measured width of hernia defects was 13 (12–16) cm, the median gain in length on the lateral abdominal wall was 12 (10–15) cm. After median follow-up of 29 (12–54) months, one recurrence from the broken mesh was observed. No method-related complications occurred. Conclusion Based on the 2017 and current results, the AWEX system represents an alternative or supplemental procedure to current techniques for complex abdominal wall reconstruction. The system proved again to be time-saving, safe, effective, and easy to learn. Further studies with enhanced technology are in progress.

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Spontaneous lateral abdominal wall hematoma presenting as an incidental mass in a young adult

Journal of Clinical Ultrasound ◽

10.1002/jcu.20571 ◽

2009 ◽

Vol 37 (5) ◽

pp. 290-291 ◽

Cited By ~ 1

Author(s):

Nabil Sherif Mahmood ◽

Hadihally Byregowda Suresh ◽

Vinod Hegde ◽

Viola D'Souza

Keyword(s):

Young Adult ◽

Abdominal Wall ◽

Lateral Abdominal Wall

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Tubular ectasia of the testicle: sonographic and MR imaging appearance.

American Journal of Roentgenology ◽

10.2214/ajr.160.3.8430548 ◽

1993 ◽

Vol 160 (3) ◽

pp. 539-542 ◽

Cited By ~ 57

Author(s):

V M Tartar ◽

M A Trambert ◽

Z N Balsara ◽

R F Mattrey

Keyword(s):

Mr Imaging ◽

Imaging Appearance

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Thoracoabdominal herniation – but not as you know it

Annals of The Royal College of Surgeons of England ◽

10.1308/003588414x13814021679032 ◽

2014 ◽

Vol 96 (5) ◽

pp. e1-e2 ◽

Cited By ~ 3

Author(s):

J Wigley ◽

F Noble ◽

A King

Keyword(s):

Abdominal Wall ◽

Blunt Trauma ◽

Rare Case ◽

Surgical Repair ◽

Diaphragmatic Rupture ◽

Lateral Abdominal Wall

Thoracoabdominal hernias are uncommon following blunt trauma. If diaphragmatic rupture does occur, the abdominal viscera can herniate into the thorax through the diaphragm. We report a rare case of thoracoabdominal herniation in which the bowel herniated through the lateral abdominal wall, migrating cranially and entering the thorax through an intercostal defect. This case highlights the need for early and definitive surgical repair.

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Comparison of the flank and ventral midline approach for ovariohysterecto-my in bitches

Scientific Messenger of LNU of Veterinary Medicine and Biotechnology ◽

10.32718/nvlvet9811 ◽

2020 ◽

Vol 22 (98) ◽

pp. 63-68

Author(s):

A. D. Stepanov

Keyword(s):

Abdominal Wall ◽

Research Work ◽

White Line ◽

Lateral Abdominal Wall ◽

Surgical Access ◽

Anterior Edge ◽

Vertical Incision ◽

Surgical Sutures ◽

The Right ◽

Midline Approach

Surgical access for ovariohysterectomy in bitches through the right lateral abdominal wall with an incision in its upper third in the direction from the anterior edge of the macula to the fourth nipple of the corresponding side of the breast is proposed. The article presents the results of studies obtained when used for the purpose of ovariohysterectomy in bitches of operative access through the right lateral and ventral abdominal wall. Research work was conducted on healthy mature bitches. The operations were performed in the area of the right lateral abdominal wall and in the umbilical region. On the lateral abdominal wall, an oblique-vertical incision was used at the border of the inguinal and iliac areas in the direction from the anterior edge of the macula to the fourth nipple of the corresponding side of the breast. The ventral abdominal wall was cut along the white line. It was found that when performing ovariohysterectomy in bitches using the proposed surgical access through the right lateral abdominal wall with a smaller wound size (P < 0.05), the duration of the operation and the healing period correspond to those when using median laparotomy. It is proved that operative access with oblique-vertical incision in the area of the right lateral abdominal wall at the border of the groin and anus during ovariohysterectomy in bitches provides favorable opportunities for surgical reception and closure of the surgical wound. The number of surgical sutures for sutures on the abdominal wall is less than in the case of ventral access (P < 0.01). It is also noted that in ovariohysterectomy in bitches, operative access through the right lateral abdominal wall with an incision in the direction from the anterior edge of the macula to the fourth nipple of the corresponding side of the breast may be recommended as an alternative access through the white line of the abdomen.

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