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Chronic bladder herniation associated with pubic diastasis

E J Foster, D G Murray, R O Gregg

    The Journal of Trauma
    |January 1, 1981
    PubMed
    Summary
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    A rare case of chronic bladder herniation after abdominal surgery was successfully repaired using a bone graft. Restoring pelvic ring stability was key to the successful fascial repair.

    Area of Science:

    • Urology
    • Trauma Surgery
    • Orthopedic Surgery

    Background:

    • Chronic bladder herniation is a rare complication following abdominal surgery.
    • Post-traumatic pubic diastasis can predispose patients to abdominal wall defects.

    Observation:

    • A patient with long-standing post-traumatic pubic diastasis developed chronic bladder herniation after a vertical abdominal incision.
    • The defect involved significant fascial disruption and pelvic instability.

    Findings:

    • Surgical repair of the bladder herniation was achieved by bridging the fascial defect with a cortical bone graft.
    • The bone graft provided necessary anchorage for the fascial repair.
    • Successful repair was contingent on reestablishing a competent anterior pelvic ring.

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    Implications:

    • This case highlights a novel surgical approach for managing complex abdominal wall defects with pelvic instability.
    • Cortical bone grafting offers a viable solution for achieving stable fascial repair in challenging cases.
    • Reconstruction of the anterior pelvic ring is crucial for successful outcomes in bladder herniation repair associated with pubic diastasis.