Petrone Patrizio, Magadán Álvarez Cristina, Joseph D'Andrea, Cartagena Lee, Ali Fahd, E M Brathwaite Collin
Department of Surgery, NYU Winthrop Hospital, Mineola, Long Island, Nueva York, EE. UU.; Universidad de Las Palmas de Gran Canaria, Islas Canarias, España.
Department of Surgery, NYU Winthrop Hospital, Mineola, Long Island, Nueva York, EE. UU.
Cir Esp (Engl Ed). 2018 May;96(5):250-259. doi: 10.1016/j.ciresp.2018.02.021. Epub 2018 Apr 12.
Traumatic retroperitoneal injuries constitute a challenge for trauma surgeons. They usually occur in the context of a trauma patient with multiple associated injuries, in whom invasive procedures have an important role in the diagnosis of these injuries. The retroperitoneum is the anatomical region with the highest mortality rates, therefore early diagnosis and treatment of these lesions acquire special relevance. The aim of this study is to present current published scientific evidence regarding incidence, mechanism of injury, diagnostic methods and treatment through a review of the international literature from the last 70 years. In conclusion, this systematic review showed an increasing trend towards non-surgical management of retroperitoneal injuries.
创伤性腹膜后损伤对创伤外科医生来说是一项挑战。它们通常发生在伴有多种合并伤的创伤患者中，在这类患者中，侵入性检查对这些损伤的诊断起着重要作用。腹膜后是死亡率最高的解剖区域，因此这些损伤的早期诊断和治疗具有特殊意义。本研究的目的是通过回顾过去70年的国际文献，展示目前已发表的关于发病率、损伤机制、诊断方法和治疗的科学证据。总之，这项系统评价显示腹膜后损伤的非手术治疗呈上升趋势。
