[Controversies in the current management of traumatic abdominal wall hernias].
The management of traumatic abdominal wall hernias is controversial. We performed a MEDLINE search and report a personal series of 10 patients. Cases were classified according to the cause of injury. Fifty-six percent were caused by car accidents and 14% by bicycle accidents. Diagnosis was clinical in 22% and surgical in 13% and intra-abdominal lesions were found in 67%. Treatment was delayed in 12%. In our series, 55% were lumbar hernias due to traffic accidents and all were associated with pelvic fracture. Treatment was delayed in 50%, including laparoscopic surgery with good results. In conclusion, traumatic hernias due to road traffic accidents are frequently associated with intra-abdominal lesions. The diagnostic technique of choice is computed tomography and delayed surgery (laparoscopy) is an effective option.
Moreno-Egea
Alfredo
A
Servicio de Cirugía General, Unidad de Pared Abdominal, Hospital José M. Morales Meseguer, Murcia, España. moreno-egea@ono.com
Girela
Enrique
E
Parlorio
Elena
E
Aguayo-Albasini
José Luis
JL
D000007:Abdominal Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D000063:Accidents, Traffic; D000465:Algorithms; D001642:Bicycling / Q000293:injuries; D004630:Emergencies; D046449:Hernia, Abdominal / Q000145:classification / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D010535:Laparoscopy; D009104:Multiple Trauma / Q000175:diagnosis; D014057:Tomography, X-Ray Computed