PMC5820818_01
(a) Bullhorn-injury associated traumatic hernia above the right inguinal region with healing bruise at lower part of swelling with a suprapubic incision of previous cystolithotomy; (b) Site of laparoscopic ports utilized for repair of defect
JPGM-64-56-g001.jpg
PMC5820818_01_JPGM-64-56-g001.jpg
F1
On examination, a resolving yellowish-brown 2 cm x 1 cm bruise was present at the alleged site of injury that was 4 cm medial to anterior superior iliac spine and 2 cm above the deep inguinal ring [Figure 1]. On coughing, a small bulge of about 3 cm appeared at the site of injury [Figure 1].
Contrast-enhanced computed tomography abdomen showing the hernial defect of about 2 cm just above the right inguinal region
JPGM-64-56-g002.jpg
PMC5820818_01_JPGM-64-56-g002.jpg
F2
It revealed a small defect of approximately 2 cm size in the anterior abdominal wall [Figure 2].
(a) Split defect in the fascial and muscle layer; (b) Laparoscopic anatomic repair of hernial defect with polypropylene 1-0 suture
JPGM-64-56-g003.jpg
PMC5820818_01_JPGM-64-56-g003.jpg
F3
However, intraoperatively, we found a small clean split defect in the muscle and fascial layers of anterior abdominal wall of <2 cm size [Figure 3]. Thus, an anatomic tissue repair of the defect in single layer was done transperitoneally using continuous nonabsorbable 1-0 polypropylene sutures [Figure 3].