Abstract：
Traumatic abdominal wall hernias are a rare complication of high energy blunt trauma. There exist several studies evaluating and outlining potential management options but still no generalized consensus on management. This series was meant to evaluate the diagnosis and management of traumatic abdominal wall hernias. A prospectively maintained database was used to identify patients with TAWH from 2021 to 2022. The primary outcome was operative management. Secondary outcomes included: time to diagnosis and post-operative outcomes. Of the 19 patients in this case series, 100% (n = 19/19) were secondary to blunt trauma with a mean ISS of 21. Exploratory laparotomy was performed in 17 cases. 14 cases had concomitant traumatic injuries to visceral structures. Complications were found in nearly half of the patients with 3 experiencing wound dehiscence. Future studies should be aimed at standardizing management approach taking into account nature of the mechanism and concomitant injuries.
摘要：
外伤性腹壁疝是高能量钝性创伤的罕见并发症。有几项研究评估和概述了潜在的管理选择，但仍未就管理达成普遍共识。本系列旨在评估外伤性腹壁疝的诊断和治疗。前瞻性维护的数据库用于识别2021年至2022年的TAWH患者。主要结果是手术管理。次要结果包括：诊断时间和术后结果。在这个病例系列的19名患者中，100％（n=19/19）继发于钝性创伤，平均ISS为21。17例进行剖腹探查。14例合并内脏结构外伤。在将近一半的患者中发现了并发症，其中3例经历了伤口裂开。未来的研究应旨在标准化管理方法，同时考虑到机制的性质和伴随的伤害。
