Umbilical Hernial Repair Using IPOM

Traumatic abdominal wall hernia (TAWH) has a reported incidence of around 1%. It is defined as herniation of intra-abdominal organs following trauma without skin penetration. High-energy trauma is often associated with intra-abdominal injury. Treatment options vary from non-operative management to surgical repair either open or laparoscopic. We present a case of a middle-aged male who presented with a history of rickshaw roll over injury. On examination, there was tender abdominal swelling with abrasions. Computerized Tomography (CT) scan confirmed the diagnosis of TAWH and free fluid in abdomen. Emergency exploratory laparotomy was performed. Mesenteric tears were repaired and primary restoration of abdominal wall was done. The patient was discharged on a fourth post-operative day without any complications. Management of TAWH should be tailored according to individual patient presentation. Midline exploratory laparotomy with the primary hernial repair is an operative intervention of choice for those with high-energy injury as there is an increased chance of accompanying visceral trauma. Keywords: Laparotomy; Trauma; Hernia.

Download Full-text

Complications of Inguinal Hernial Repair

Surgical Clinics of North America ◽

10.1016/s0039-6109(16)43285-8 ◽

1984 ◽

Vol 64 (2) ◽

pp. 287-298 ◽

Cited By ~ 91

Author(s):

George E. Wantz

Keyword(s):

Hernial Repair

Download Full-text

Improved technic for preparing a buried dermal graft in hernial repair

The American Journal of Surgery ◽

10.1016/s0002-9610(44)90185-6 ◽

1944 ◽

Vol 66 (2) ◽

pp. 249-251 ◽

Cited By ~ 9

Author(s):

James V. Scola

Keyword(s):

Dermal Graft ◽

Hernial Repair

Download Full-text

Bochdalek Hernia in an Adult with Upper Gastrointestinal Bleeding

Case Reports in Gastroenterology ◽

10.1159/000462968 ◽

2017 ◽

Vol 11 (2) ◽

pp. 284-292 ◽

Cited By ~ 2

Author(s):

Mohammed Al-Dugdugi ◽

Abdulhameed Alhazmi ◽

Abdulhadi Khaliel ◽

Luis Perez

Keyword(s):

Acute Pancreatitis ◽

Gastrointestinal Bleeding ◽

Upper Gastrointestinal Bleeding ◽

Bochdalek Hernia ◽

Threatening Condition ◽

Lethal Complications ◽

Life Threatening ◽

Hernial Repair ◽

Upper Gastrointestinal

Bochdalek hernia (BH) can be a life-threatening condition in infants. Approximately 85.3% of newborns with a BH are immediately at high risk and have a high mortality rate due to respiratory insufficiency [Kocakusak et al.: Hernia 2005;9: 284–287]. However, BH is almost asymptomatic in adults and discovered only incidentally [Wilkins et al.: Clin Imaging 1994;18: 224–229]. Complicated BH in adults might present with visceral incarceration and lethal complications. Upper gastrointestinal bleeding and acute pancreatitis are rarely reported in the literature as complications of BH in adults. Here we report the case of a 42-year-old male who presented with upper gastrointestinal bleeding and acute pancreatitis. He was found to have abdominal visceral organ herniation to the posterior right thoracic cavity. His diagnosis was achieved early and with a close follow-up, we succeeded in stabilizing the patient’s condition. Then he was subjected to reconstructive thoracotomy for hernial repair and restoring abdominal viscera.

Download Full-text