TY - JOUR PY - 2007// TI - Controversies in the current management of traumatic abdominal wall hernias JO - Cirugia Espanola A1 - Moreno-Egea, Alfredo A1 - Girela, Enrique A1 - Parlorio, Elena A1 - Aguayo-Albasini, José Luis SP - 260 EP - 267 VL - 82 IS - 5 N2 - 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

LA - es SN - 0009-739X UR - http://dx.doi.org/ ID - ref1 ER -