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Updated: Feb 6, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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A Traumatic Direct Inguinal Hernia from Pelvic Ring Disruption.

Kevin L Chow1, Eduardo Smith-Singares2, James Doherty2

  • 1Department of Surgery, University of Illinois at Chicago, MC 958, 840 South Wood Street, Suite 376-CSN, Chicago, IL 60612, USA.

Case Reports in Surgery
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Summary

This case study describes a rare traumatic inguinal hernia (TIH) resulting from an open-book pelvic fracture. Simultaneous surgical repair of the pelvic fracture and hernia using mesh is feasible and safe.

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Abdominal Wall Reconstruction

Background:

  • Pelvic fractures, often high-energy, comprise 3% of skeletal injuries.
  • Over 80% of unstable pelvic fractures have associated injuries.
  • Traumatic abdominal wall hernias (TAWHs) are rare; traumatic inguinal hernias (TIHs) linked to pelvic fractures are undescribed.

Observation:

  • A 45-year-old male motorcyclist sustained an open-book pelvic fracture.
  • The fracture caused abdominal wall disruption, resulting in a direct inguinal hernia.
  • The patient underwent simultaneous pelvic fracture fixation and hernia repair.

Findings:

  • This is a unique case of TIH secondary to an open-book pelvic fracture.
  • TAWHs result from shearing forces and increased intra-abdominal pressure.
  • Acute mesh repair of TAWHs is safe alongside pelvic reduction if no hollow viscus injury or contamination exists.

Implications:

  • Highlights a novel mechanism for traumatic inguinal hernias.
  • Supports simultaneous surgical management of pelvic fractures and associated traumatic abdominal wall hernias.
  • Suggests mesh repair is a safe and effective option in acute settings for selected patients.