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Traumatic abdominal wall hernias: a single-center case series of surgical management.

Kevin L ChowEllen C OmiJohn SantanielloJane K LeeDavid P McElmeelYalaunda M ThomasThomas J CartolanoJames C DohertyEduardo Smith-Singares
Published in: Trauma surgery & acute care open (2020)
TAWHs have an associated injury pattern involving fractures and abdominopelvic visceral injuries where a tailored approach is advisable. Without hollow viscous injuries and gross contamination, these hernias can be repaired safely with mesh in the acute setting. However, in patients with gross contamination or hemodynamic instability, the risk of recurrence with primary repair must be weighed against the risk of infection and prolonged surgery with mesh repair. In those cases, a delayed reconstruction in the elective setting may be optimal.
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