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Lateral abdominal wall hernias after coughing: a single center experience
Ryan C Ellis1, Sara M Maskal2, Alexander Bertke3
1Department of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. ellisr2@ccf.org.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 27, 2024
Summary
Forceful coughing can cause lateral abdominal wall hernias. Surgical repair using mesh showed low recurrence rates in this small series, though long-term follow-up is limited.
Area of Science:
- Abdominal surgery
- Hernia repair
- Surgical outcomes
Background:
- Lateral abdominal wall hernias from forceful coughing are uncommon.
- Limited literature exists on their etiology and management.
- Consensus on operative and non-operative treatment is lacking.
Purpose of the Study:
- To report institutional experience in repairing lateral abdominal wall hernias.
- To investigate hernias secondary to vigorous coughing.
- To analyze outcomes of surgical repair.
Main Methods:
- Retrospective review of 12 patients from August 2014 to December 2023.
- Inclusion criteria: lateral hernias without prior incisions, linked to vigorous coughing.
- Data extracted from Abdominal Core Health Quality Collaborative (ACHQC) and chart review.
Main Results:
- Twelve patients underwent repair; median hernia width was 18.5 cm.
- All had transversus abdominis release; 8 received mesh, 9 had mesh fixation.
- Two patients had superficial wound openings; one reported a bulge at 4-year follow-up with no clinical recurrence.
Conclusions:
- Lateral abdominal wall hernias due to forceful coughing are not well-defined.
- This series presents repair experiences and outcomes.
- Limited follow-up restricts definitive conclusions on recurrence.
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