Premium
Laparoscopic decision‐making concerning the repair area for traumatic abdominal wall pseudohernia: A case report
Author(s) -
Kaiwa Yoshihiro,
Maida Kai,
Sekiguchi Satoshi
Publication year - 2020
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12725
Subject(s) - medicine , abdominal wall , surgery , laparoscopy , orthopedic surgery , abdominal compartment syndrome , abdomen , abdominal trauma , abdominal surgery , abdominal computed tomography , abdominal wall defect , blunt
Laparoscopic decision‐making may be useful for accurately determining the repair area when treating abdominal wall pseudohernia. A 31‐year‐old man was admitted with a pelvic ring fracture after a traffic accident and underwent orthopedic surgery. Five months after surgery, the patient developed a lower abdominal protrusion. CT revealed abdominal wall bulging and thinning of the abdominal muscle but no musculofascial defects, suggesting a pseudohernia. We reconstructed the abdominal wall and inserted a mesh. Because there was no musculofascial defect, it was difficult to discern the accurate repair area. We used laparoscopy to determine the repair area, which was recognized thanks to illumination transmitted through the abdominal wall. We were able to determine the appropriate size and placement of the mesh, which enabled us to repair the abdominal pseudohernia.