Drago S P, Nuzzo M, Grassi G B
Department of General Surgery, Azienda Ospedaliera San Filippo Neri, via Martinotti 20, 00135 Rome, Italy.
Surg Today. 1999;29(10):1111-4. doi: 10.1007/s005950050655.
A traumatic abdominal wall hernia is an unusual injury that may follow various types of blunt trauma. Differing patterns of muscular and fascial disruption can occur due to the different types of force involved as well as the tensile properties of the various areas in the abdominal wall. The anatomical defects which thus occur, therefore vary from small tears to large disruptions. A surgical repair is not always straightforward, and therefore close attention must be paid to such factors as the size and site of the defect, any associated intra-abdominal injuries, and the timing of repair, in order to achieve the best surgical repair. We consider the role of a computed tomography scan in the diagnosis of the muscular defects and associated injuries to be very important. Mesh repair offers an advantage in preventing recurrence in the presence of large defects, but strict criteria in their use must be followed, as the presence of hollow viscus injuries is an absolute contraindication to the use of mesh.
创伤性腹壁疝是一种不常见的损伤，可能继发于各种类型的钝性创伤。由于涉及的力的类型不同以及腹壁各区域的拉伸特性，可能会出现不同模式的肌肉和筋膜破坏。因此出现的解剖学缺陷从小撕裂到大面积破坏各不相同。手术修复并不总是简单直接的，因此必须密切关注诸如缺损的大小和部位、任何相关的腹腔内损伤以及修复时机等因素，以实现最佳的手术修复。我们认为计算机断层扫描在诊断肌肉缺损和相关损伤方面的作用非常重要。在存在大的缺损时，网片修复在预防复发方面具有优势，但必须遵循其使用的严格标准，因为存在中空脏器损伤是使用网片的绝对禁忌证。
