Traumatic abdominal wall hernia Repair: An Experience in remote hospital of karnali Academy of health science Teaching Hospital.

Abstract

Traumatic abdominal wall hernia (TAWH) is a rare event and is caused by blunt trauma to the abdomen. Although, TAWH was first explained by Selby a century ago, fewer cases have been reported in English literatures [1]. TAWH is defined as “Herniation through disrupted fascia along with musculature, associated with adequate trauma, without skin penetration and no evidence of a prior hernia defect at the site of injury”[2]. Skin can be bruised but normally remains intact. Most TAWH are diagnosed on presentation with contrast enhanced computed tomography of abdomen in advanced center, however, the clinical examinations and high index of suspicion in blunt abdomen trauma can be considered as an important method for diagnosis where no CT is available, and most authors advocate immediate laprotomy if high incidence of intra-abdominal injuries is in favor. We present one case of TAWH managed by onlay meshplasty, 6 days after initial trauma.