Citation

Moreno-Egea A, Girela E, Parlorio E, Aguayo-Albasini JL. Cir. Esp. 2007; 82(5): 260-267.

Vernacular Title

Controversias en el manejo actual de las hernias traumaticas de pared abdominal.

Affiliation

Servicio de Cirugía General, Unidad de Pared Abdominal, Hospital José M. Morales Meseguer, Murcia, España. moreno-egea@ono.com

Copyright

(Copyright © 2007, Ediciones Doyma)

DOI

unavailable

PMID

18021624

Abstract

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.

Language: es