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:
外伤性腹壁疝(TAWH)是钝性损伤引起的内容物通过腹壁缺损的突出。这篇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刻,评估使用网格的必要性,并分析了手术治疗的有效性。因此,使用PubMed进行系统审查,Embase,和Scopus数据库是在2004年1月至2024年3月之间进行的。计算机断层扫描是诊断的金标准成像测试。开放手术通常是首选方法,尤其是在紧急情况下。急性TAWH可以通过初级缝合或网状修复来治疗,根据当地情况,而晚期病例通常需要网格。