Traumatic abdominal wall hernia-a case report

Traumatic abdominal wall hernia remains a rarely reported event, despite the high prevalence
of blunt abdominal trauma. The traumatic abdominal wall hernia was successfully managed by Intra
peritoneal On lay Mesh technique, a repair procedure where a mesh is introduced into the abdominal
cavity and placed from the inside over the hernia opening.
Case report
We report a rare case of traumatic abdominal wall hernia caused by a traffic accident. A 33-
year-old male was hospitalized after road traffic accident. He sustained facial and rib fractures and
received emergency treatment and was presumably discharged after reasonable recovery. He attended
our clinic two years later with complaints of pain and swelling in the left subcostal area. Computed
tomography showed an abdominal wall defect.
Type of abdominal wall, the size of the hernia defect and the presence of associated intra-
abdominal injuries are main factors to decide how the hernia will be repaired, immediate versus delayed.
IPOM plus technique is used in an elective treatment of traumatic abdominal wall hernias.
Studies show that seroma formation was less often found in patients undergoing laparoscopic
intra peritoneal on lay mesh treatment with fascial defect closure as compared to laparoscopic intra
peritoneal on lay mesh placement without defect closure.
Traumatic abdominal wall hernia presents a diagnostic as well as a therapeutic challenge. The
therapeutic approach is governed by a multitude of factors emphasizing the need of a patient-tailored,
case by case management plan.