Singh K D, Singh V, Gupta P, Mani R
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.
J Postgrad Med. 2018 Jan-Mar;64(1):56-58. doi: 10.4103/jpgm.JPGM_14_17.
Traumatic abdominal wall hernias (TAWHs) are relatively uncommon entities. Common mechanisms that predispose to such hernias include motor vehicle accidents, seat belt injuries, fall from height, handlebar injuries, and bullfighting. Bullhorn injury leading to TAWHs is an uncommon mechanism. We report here one such patient who was managed by laparoscopic transperitoneal anatomical repair of the defect using polypropylene suture. The patient recovered well without any complication and is being followed up. Such small defects can be managed laparoscopically and tissue-only repair using a nonabsorbable suture is a feasible option. Our case is the first reported case of bullhorn-injury associated traumatic hernia managed laparoscopically and first reported case of TAWH in an adult which was managed by laparoscopic sutured tissue-only repair.
创伤性腹壁疝（TAWHs）相对少见。易引发此类疝的常见机制包括机动车事故、安全带损伤、高处坠落、车把伤和斗牛。牛角伤导致TAWHs是一种不常见的机制。我们在此报告一名此类患者，通过使用聚丙烯缝线经腹腔镜经腹膜对缺损进行解剖修复进行治疗。患者恢复良好，无任何并发症，正在接受随访。此类小缺损可通过腹腔镜处理，使用不可吸收缝线进行单纯组织修复是一种可行的选择。我们的病例是首例报道的经腹腔镜处理的牛角伤相关创伤性疝，也是首例报道的通过腹腔镜单纯缝合组织修复治疗的成人TAWH。
