Successful Repair of an Unusual Hernia Associated With Traumatic Pubic Diastasis

LOUIS F. JACQUES, PETER GLOVICZKI, DAVID E. PATTERSON, MICHAEL G. SARR

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

A 70-year-old man had an unusual type of supravesical small bowel hernia associated with herniation of the bladder through a traumatic diastasis of the pubic symphysis. The diastasis was closed with prosthetic mesh through a preperitoneal approach. In patients in whom a scrotal hernia develops after a previous pelvic fracture, especially those with evidence of a pubic diastasis, an unusual type of hernia should be suspected. A preperitoneal surgical approach best reveals the anatomy and allows appropriate repair. The best procedure for prevention of such hernias is primary reduction of any substantial pubic diastasis, but operative intervention is not indicated in all patients.

Original languageEnglish (US)
Pages (from-to)492-495
Number of pages4
JournalMayo Clinic proceedings
Volume63
Issue number5
DOIs
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Medicine(all)

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    JACQUES, LOUIS. F., GLOVICZKI, PETER., PATTERSON, DAVID. E., & SARR, MICHAEL. G. (1988). Successful Repair of an Unusual Hernia Associated With Traumatic Pubic Diastasis. Mayo Clinic proceedings, 63(5), 492-495. https://doi.org/10.1016/S0025-6196(12)65647-X