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KMID : 1033020110010010028
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2011 Volume.1 No. 1 p.28 ~ p.31
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Laparoscopic Repair of a Traumatic Abdominal Wall Hernia
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Youn Ho-Geun
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Abstract
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Traumatic hernia, of the abdominal wall, remains as a relatively rare condition. We present a rare case of chronic traumatic abdominal wall hernia, which is caused by a traffic accident. A 65-year-old man complained of a growing flank mass since a traffic accident that happened 17 years ago, with no other symptoms. Computer tomography (CT) showed intestinal herniation through an abdominal wall defect into the subcutaneous space. We approached laparoscopically into an abodominal cavity, and had confirmed abdominal wall defects, occupying the whole right flank, followed by a closure of the defect using a bilayer mesh. Tacker and transfascial fixation were used at the inferior and the anterior border. Mesh was fixed with a sealing agent and peritoneal coverage method, at the superior and posterior border, was hard to be fixed on the abdominal wall with tacker. The patient recovered well, and a post-operative CT scan showed no herniation through a defect.
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KEYWORD
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Traumatic abdominal wall hernia, Laparoscopic repair
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