Lateral abdominal wall hernias after coughing: a single center experience
- 01.12.2025
- Original Article
- Verfasst von
- Ryan C. Ellis
- Sara M. Maskal
- Alexander Bertke
- Sergio Mazzola Poli de Figueiredo
- Kimberly P. Woo
- Aldo Fafaj
- Nir Messer
- Daphne Remulla
- David M. Krpata
- Benjamin T. Miller
- Lucas R. A. Beffa
- Clayton C. Petro
- Ajita S. Prabhu
- Michael J. Rosen
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
Forceful coughing is assumed to be an uncommon etiology for lateral abdominal wall hernias. The literature regarding this topic is very limited and there is a lack of consensus in management, both operative and non-operative. We aim to report our center’s experience in repair of lateral abdominal wall hernias secondary to vigorous coughing.
Methods
All patients undergoing lateral abdominal wall hernia repairs secondary to coughing at our institution from August 2014 to December 2023 were identified in the Abdominal Core Health Quality Collaborative (ACHQC). Only patients with lateral abdominal wall hernias without prior lateral incisions, reporting a vigorous coughing event were included in the analysis. Recurrent repairs were also included. Patient and hernia characteristics, operative details, post-operative outcomes, and long-term patient reported outcomes were extracted from the ACHQC database and chart review.
Results
Twelve patients with lateral abdominal wall hernias secondary to coughing underwent repair within the study period. The median hernia width was 18.5 cm. Transversus abdominus release was performed in all patients, 8 had heavyweight polypropylene mesh placed, and 9 received mesh fixation. Wound complications were noted in 2 patients, both resolved with superficial wound opening. At a mean follow up of 4.0 years, one patient reported a bulge, and no clinical or radiographic recurrences were identified.
Conclusion
Lateral abdominal wall hernias after forceful coughing have not been well defined. Here we present our series based on our repairs. Unfortunately, our ability to comment on recurrences is limited by a lack of follow up.
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- Titel
- Lateral abdominal wall hernias after coughing: a single center experience
- Verfasst von
-
Ryan C. Ellis
Sara M. Maskal
Alexander Bertke
Sergio Mazzola Poli de Figueiredo
Kimberly P. Woo
Aldo Fafaj
Nir Messer
Daphne Remulla
David M. Krpata
Benjamin T. Miller
Lucas R. A. Beffa
Clayton C. Petro
Ajita S. Prabhu
Michael J. Rosen
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03251-1
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