Diagnosis and treatment of traumatic abdominal wall hernia
- VernacularTitle:创伤性腹壁疝的诊治经验
- Author:
Jian FAN
;
Jianli LI
- Publication Type:Journal Article
- Keywords:
Hernia,ventral;
Wounds and injuries;
Diagnosis;
Therapy
- From:
Chinese Journal of General Surgery
2008;23(9):695-698
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the causes of misdiagnesis and mistreatment of traumatic abdominal hernia. Methods In this study,11 cases of traumatic abdominal hernia admitted during 1971 to 2004 were retrospectively analyzed.Hernia located subcutaneously in 8 cases including incarcerated hernia in 2 csses.Hernia located intermuscularly in 2 cases with one case being incarcerated.and the other strangulated.One located retroperitoneally.Among the 11 cases,3 were simple hernia,8 were complicated with injuries of other organs. Results Eight cases were misdiagnosed,5 were operated on with wrong incision,and in one case the herniated intestinal loop,mistaken as hematoma,was incised.All these 5 cases underwent a second surgery due to failure in repairing the hernia. Condusion For traumatic abdominal wall hernia,correct diagnosis,the correct timing of operation and an appropriate incision chosen insure good therapeutic results.