Abdominal symmetry index after reconstruction of traumatic lumbar hernia with dual polypropylene mesh: a comparative CT-based study - Report - MDSpire

Abdominal symmetry index after reconstruction of traumatic lumbar hernia with dual polypropylene mesh: a comparative CT-based study

  • By

  • Jocielle Santos de Miranda

  • Patrícia Perola Dantas

  • Marcia Kiyomi Koike

  • Manoel de Souza Rocha

  • Mario Paulo Faro

  • Abel Hiroshi Fernandes Murakami

  • Allan Antonelli Meira

  • Edna Frasson de Souza Montero

  • Claudio Augusto Vianna Birolini

  • Sergio Henrique Bastos Damous

  • Edivaldo Massazo Utiyama

  • June 30, 2026

  • 0 min

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Clinical Report: Assessment of Abdominal Symmetry Index Following Dual Polypropylene Mesh Reconstruction for Traumatic Lumbar Hernia

Overview

This study evaluates the abdominal symmetry index (ASI) following dual polypropylene mesh reconstruction in patients with traumatic lumbar hernia (TLH). It aims to quantify postoperative changes in abdominal wall symmetry using computed tomography (CT) as a measurement tool.

Background

Traumatic lumbar hernia is a rare injury often resulting from high-energy trauma, such as motor vehicle accidents. Accurate diagnosis and effective reconstruction are critical due to the complex anatomy of the lumbar region.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • Traumatic lumbar hernia (TLH) is often overlooked despite its potential severity.
  • Computed tomography (CT) is crucial for the detection and characterization of TLH.
  • Abdominal wall symmetry is an important endpoint in TLH reconstruction.
  • The study introduces the abdominal symmetry index (ASI) as a novel exploratory morphologic index.
  • Postoperative assessment of ASI aims to demonstrate changes in symmetry after surgical repair.

Clinical Implications

The findings emphasize the role of CT in the diagnosis and assessment of abdominal wall symmetry in TLH.

Conclusion

The study suggests further exploration of abdominal wall symmetry as an outcome in traumatic lumbar hernia reconstruction, utilizing the ASI as a measurement tool.

Related Resources & Content

  1. Hernia — Utilizing Pre-operative CT Imaging to Anticipate Complications in Patients Undergoing Complex Ventral Hernia Repair via Component Separation Technique
  2. Hernia — Assessment of Radiologists' Precision and Consistency in Analyzing CT Imaging Following Ventral Hernia Repair
  3. Hernia (Springer) — Muscle Remodeling of the Abdominal Wall Following Open Transversus Abdominis Release: A CT Analysis
  4. Traumatic abdominal wall hernias: A 15-year single-center experience in diagnosis and management | Surgery Today | Springer Nature Link
  5. Hernia — Beyond the radiology report: a multi-criteria decision analysis to define essential CT parameters for abdominal wall reconstruction
  6. Appropriateness Criteria | Hernia |
  7. Open repair of flank and lumbar hernias: 142 consecutive repairs at a high-volume hernia center - ScienceDirect
  8. Traumatic abdominal wall hernias: A 15-year single-center experience in diagnosis and management | Surgery Today | Springer Nature Link
  9. https://www.aast.org/asset/8CBD29CD-1E8A-4B1E-AA1069FD7498F538/
  10. Timing of repair and mesh use in traumatic abdominal wall defects: a systematic review and meta-analysis of current literature - PMC
  11. Open sandwich mesh repair of a large recurrent incisional flank hernia - PMC
  12. Sandwich mesh repair for the treatment of lumbar incisional hernia: a case series - PMC
  13. Beyond the radiology report: a multi-criteria decision analysis to define essential CT parameters for abdominal wall reconstruction | Hernia | Springer Nature Link
  14. Abdominal wall muscle remodeling after open transversus abdominis release: a CT-based analysis | Hernia | Springer Nature Link
  15. Role of multidetector computed tomography-based component separation index in the management of large ventral hernias

Original Source(s)

Abdominal symmetry index after reconstruction of traumatic lumbar hernia with dual polypropylene mesh: a comparative CT-based study

  • by Jocielle Santos de Miranda, Patrícia Perola Dantas, Marcia Kiyomi Koike, Manoel de Souza Rocha, Mario Paulo Faro, Abel Hiroshi Fernandes Murakami, Allan Antonelli Meira, Edna Frasson de Souza Montero, Claudio Augusto Vianna Birolini, Sergio Henrique Bastos Damous, Edivaldo Massazo Utiyama

  • June 30, 2026

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