Laparoscopic-assisted management of traumatic abdominal wall hernias in XXXX : case series and a review of the literature.

@entity1 @entity4036 @entity1661 @entity547 @entity3511
BACKGROUND: @entity3511 ( @entity3511 ) is defined as herniation through a disrupted portion of musculature/fascia without skin penetration or history of prior @entity547 . In @entity1 , @entity3511 is a rare injury. OBJECTIVE: The objectives of this study were to report our experience with different management strategies of @entity3511 in @entity1 and to determine the utility of laparoscopy. DESIGN/METHOD: A retrospective chart review of all @entity1 treated by pediatric surgery at our institution for @entity3511 in a 5year interval was performed. Data were collected on mechanism of injury, initial @entity1 presentation, surgical management, and outcomes. RESULTS: We present 5 cases of traumatic @entity4036 ; 3 were managed using laparoscopic assistance. One @entity1 was managed nonoperatively. All @entity1 recovered without complications and were asymptomatic on follow up. CONCLUSION: Traumatic abdominal wall hernias require a high index of suspicion in the cases of blunt @entity1661 . Laparoscopy is useful mainly as a diagnostic modality, both to evaluate the @entity547 and associated injuries to intraabdominal structures. Its use may facilitate repair through a smaller incision. Conservative management of @entity3511 may be appropriate in select cases where there is a low risk of bowel strangulation.
