Traumatic Abdominal Wall Hernia: Report of Four Cases

腹部疝氣為一種常見的腹壁疝氣，但因腹部鈍傷造成的腹部疝氣卻相當罕見。我們報告4個創傷性腹壁疝氣的病例。創傷性腹壁疝氣經常導致腹內器官嚴重的損傷，緊急開腹手術的適應症通常是為了治療相關的腹內器官損傷而非疝氣本身。如果情況允許的話，術中可直接用不可吸收的線來修補腹壁的缺損。這個報告點出在所有腹部創傷的病患，腹壁疝氣的可能性必須被考慮；而在治療這類病患首要在於評估及處理相關且或許威脅生命的腹內臟器損傷。

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並列摘要

Ventral hernia is a common type of abdominal wall hernia, but ventral hernia developing after blunt abdominal trauma is rare. This report describes four cases of traumatic abdominal wall hernia. Traumatic abdominal wall hernia is often associated with serious intra-abdominal injury. The indication for laparotomy is usually for treating associated injuries rather than the hernia itself. Primary repair for an abdominal wall defect with nonabsorbable sutures is advised when feasible. This report highlights the possibility that abdominal wall hernias must be considered in all patients following abdominal trauma. The first priority in treating such patients, however, is the evaluation and management of associated and perhaps lifethreatening injuries.

並列關鍵字

hernia ； blunt abdominal trauma

國際替代計量

Traumatic Abdominal Wall Hernia: Report of Four Cases

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