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非穿透性创伤所致的腹部疝。系统综述。

Abdominal hernias secondary to non-penetrating trauma. A systematic review.

机构信息

Departmento de Cirugía, Hospital Vithas Las Palmas, Las Palmas de Gran Canaria, Spain.

Department of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, Mineola, New York, USA.

出版信息

Cir Esp (Engl Ed). 2024 Oct;102(10):515-523. doi: 10.1016/j.cireng.2024.07.002. Epub 2024 Jul 14.

Abstract

Traumatic abdominal wall hernia (TAWH) is a protrusion of contents through a defect in the abdominal wall as a consequence of a blunt injury. The objective of this review was to describe demographic and clinical aspects of this rare pathology, identifying the optimal moment for surgical intervention, evaluating the need to use mesh, and analyzing the effectiveness of surgical treatment. Thus, a systematic review using PubMed, Embase, and Scopus databases was carried out between January 2004 and March 2024. Computed tomography is the gold-standard imaging test for diagnosis. Open surgery is generally the preferred approach, particularly in emergencies. Acute TAWH can be treated by primary suture or mesh repair, depending on local conditions, while late cases usually require mesh.

摘要

创伤性腹壁疝(TAWH)是由于钝性损伤导致腹壁缺陷处内容物突出。本综述的目的是描述这种罕见病理的人口统计学和临床方面,确定手术干预的最佳时机,评估使用网片的必要性,并分析手术治疗的效果。因此,我们在 2004 年 1 月至 2024 年 3 月期间使用 PubMed、Embase 和 Scopus 数据库进行了系统综述。计算机断层扫描是诊断的金标准影像学检查。开放性手术通常是首选方法,尤其是在紧急情况下。急性 TAWH 可根据局部情况选择一期缝合或网片修补,而晚期病例通常需要网片。

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