A Case of Delayed Traumatic Abdominal Wall Hernia Repaired by Laparoscopic Surgery

Abstract

A 58-year-old man had been involved in a traffic accident, with injuries to the spleen and intestine. Emergency surgery was performed at another hospital. Two years later, a bulge in the right lateral abdomen appeared. On examination, a fist-sized bulge in his right lateral abdomen was found, and abdominal computed tomography showed a defect of the right abdominal muscle and herniation of the ascending colon into the subcutaneous space. Thus, a delayed traumatic abdominal wall hernia was diagnosed and successfully repaired laparoscopically. The patient's postoperative course was uneventful, and he was discharged from our hospital on postoperative day 3. There have been no signs of recurrence. Thus, a laparoscopic repair was useful for the treatment of a delayed traumatic wall hernia.