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Inicio Cirugía Española (English Edition) Abdominal hernias secondary to non-penetrating trauma. A systematic review
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Vol. 102. Issue 10.
Pages 515-523 (October 2024)
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Vol. 102. Issue 10.
Pages 515-523 (October 2024)
Review article
Abdominal hernias secondary to non-penetrating trauma. A systematic review
Hernias abdominales secundarias a traumatismo no penetrante. Una revisión sistemática
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3
José Ceballos Esparragóna, Javier Dagnesses Fonsecab, Jordi Marín Garcíab, Patrizio Petroneb,
Corresponding author
Patrizio.Petrone@nyulangone.org

Corresponding author.
a Departmento de Cirugía, Hospital Vithas Las Palmas, Las Palmas de Gran Canaria, Spain
b Department of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital—Long Island, Mineola, New York, USA
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Tables (5)
Table 1. Demographics by author, sex and age.
Table 2. Associated injuries.
Table 3. Distribution of traumatic hernias.
Table 4. Treatment of traumatic hernias.
Table 5. Complications registered.
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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.

Keywords:
Abdominal hernia
Lumbar hernia
Traumatic abdominal hernia
Traumatic lumbar hernia
Blunt trauma
Resumen

La hernia traumática de la pared abdominal (HTPA) es una protrusión de contenido a través de un defecto en la pared abdominal como consecuencia de una lesión contusa. El objetivo de esta revisión fue describir aspectos demográficos y clínicos de esta patología poco frecuente, identificando el momento óptimo para la intervención quirúrgica, evaluar la necesidad de utilizar mallas y analizar la efectividad del tratamiento quirúrgico. Para ello se realizó una revisión sistemática de las bases de datos de PubMed, Embase y Scopus de estudios publicados entre enero de 2004 y marzo de 2024. La tomografía computarizada es el estándar para su diagnóstico. La cirugía abierta es el abordaje de elección. La HTPA aguda se puede tratar mediante reparación primaria con sutura o malla, dependiendo de las condiciones locales, mientras que los casos tardíos generalmente requieren colocación de malla.

Palabras clave:
Hernia abdominal
Hernia lumbar
Hernia abdominal traumática
Hernia lumbar traumática
Traumatismo contuso

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