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Blunt abdominal trauma is associated with a variety of medical complications. Traumatic abdominal wall hernias (TAWHs) are a rare sequela of blunt trauma. Of the various forms of TAWH, a rare subtype described as a "spontaneous lateral ventral hernia" or flank hernia occurs in less than 1% of all blunt abdominal traumas. We present a case of a 39-y...
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Context 1
... blood pressure below 80 mm Hg. Extended focused assessment with sonography for trauma (e-FAST) was negative for any intraabdominal or in- Cases. 2022;13(10):504-508 trathoracic bleeding. During the primary trauma survey, a malrotated left ankle along with an absent left dorsalis pedis pulse and a large left lower flank contusion was discovered (Fig. 1). The patient's left ankle was reduced by orthopedic surgery with return of palpable pulses. The patient's blood pressure was stabilized with 2 units of packed red blood cells (pRBCs) and a 2 L crystalloid ...
Citations
... As surgical correction is always more difficult in advanced cases, surgery must be indicated as early as possible. Before going for any procedure we should establish a complete diagnosis in terms of knowing the size, location, and contents of the defect and for this reason, it is advisable to have CT available before planning a surgery [3,4] . ...
... The reconstruction is planar as opposed to the curvilinear or convex form of the native LAW. The goal is to reinforce the entire hem-~ 9 ~ abdominal wall with fixation to anatomic structures that will not stretch or attenuate over time [4,5] . The core surgical principles of ventral hernia repair apply to lateral abdominal wall reconstruction. ...
... The laparoscopic approach has the advantage of being minimally invasive(less pain, shorter length of hospital stay, and fewer wound complications); it also avoids major dissections, allows exact location of the lesion, and offers an excellent visualization, thus avoiding possible lesions to neighboring structures. However, the laparoscopic approach does not allow for parietal reconstruction or repair under controlled tension [4,6] . A hernioplasty via the anterior approach or using extra peritoneal laparoscopy on small defects with extra peritoneal contents; the trans abdominal approach on moderate defects with paraperitoneal or intraperitoneal hernias and an anterior repair with a multiple mesh or in cases of recurrence or diffuse hernias larger than 15 cm is reco mmended. ...
