TAWHTraumatic Abdominal Wall Hernia
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CONCLUSION: TAWH should be suspected in a patient with tender, localised swellings of the abdominal wall following blunt trauma (1).
A conservative or delayed operative management strategy for low energy TAWH may be feasible, but high-energy TAWH are often associated with significant intra-abdominal injuries and an operative approach via midline laparotomy has been advocated [5].
Due to the potential for contamination in cases of high-energy TAWH repair, a primary suture repair technique has been recommended by some authors because of the high (50%) wound infection rate even when mesh was not used [5].
This is in contrast to other types of TAWHs, such as those resulting from high-energy trauma where associated injuries are common.