Head William T, Thomas Christopher S, Eriksson Evert
Department of Surgery, The Medical University of South Carolina, Charleston, USA.
Cureus. 2021 Oct 25;13(10):e19043. doi: 10.7759/cureus.19043. eCollection 2021 Oct.
Seat belt syndrome (SBS) represents all injury profiles associated with seat belt injuries and motor vehicle crashes (MVCs). Seat belt syndrome classically presents with a superficial seat belt sign that may signify deeper intra-abdominal and/or spinal involvement. The amount of force transmitted from the restraint to the passenger ultimately dictates the amount and severity of the injury. We present a unique case of a 59-year-old female involved in a motor vehicle crash with multiple traumatic injuries, including seat belt syndrome, abdominal wall transection, and bowel injuries. She later had reconstruction of her traumatic abdominal wall hernias (TAWHs). Three unique approaches were used in the management of her traumatic abdominal wall hernias: (1) preoperative Botulinum toxin (Botox) injections, (2) operative use of biologic and bioabsorbable meshes in contaminated fields, and (3) postoperative physical therapy and body positioning. The patient did not experience any recurrence of these hernias after her abdominal wall reconstruction and remains alive at the time this case was written. The diagnostic criteria and surgical management of traumatic abdominal wall hernias have yet to be established, and the case presented here provides approaches that should serve as future areas for study.
安全带综合征（SBS）涵盖了与安全带损伤及机动车碰撞（MVC）相关的所有损伤情况。安全带综合征典型表现为浅表的安全带印记，这可能意味着存在更深层的腹腔内和/或脊柱损伤。从约束装置传递至乘客的力的大小最终决定了损伤的程度和严重性。我们报告了一例独特病例，一名59岁女性遭遇机动车碰撞，伴有多处创伤性损伤，包括安全带综合征、腹壁横断伤和肠损伤。她后来接受了创伤性腹壁疝（TAWH）修复手术。在处理她的创伤性腹壁疝时采用了三种独特方法：（1）术前注射肉毒杆菌毒素（肉毒素）；（2）在污染区域手术中使用生物和生物可吸收补片；（3）术后物理治疗和体位调整。该患者腹壁重建后未出现这些疝的复发情况，在撰写本病例时仍然存活。创伤性腹壁疝的诊断标准和手术治疗方法尚未确立，此处呈现的病例提供了可供未来研究的方法。
