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

Park, Seung Yeon (Department of Surgery, Gachon Medical University, Gil hospital)
Chung, Min (Department of Surgery, Gachon Medical University, Gil hospital)
Publication Information
Journal of Trauma and Injury / v.22, no.1, 2009 , pp. 119-122 More about this Journal
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 $15{\times}5cm$. 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.
Keywords
Traumatic abdominal wall hernia; Prolen mesh;
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