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Traumatic flank hernias: acute and chronic management
Jeffrey S Bender1, Ryan W Dennis, Roxie M Albrecht
1Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. jeffrey-bender@ouhsc.edu
American Journal of Surgery
|February 5, 2008
Summary
Traumatic flank hernias, though rare, are increasingly recognized after severe blunt trauma. Prompt diagnosis and appropriate surgical timing are crucial for successful outcomes in managing these injuries.
Area of Science:
- Trauma Surgery
- Surgical Oncology
- Abdominal Wall Reconstruction
Background:
- Traumatic flank hernias are an emerging concern following significant blunt force injuries.
- Understanding their incidence and management is vital for trauma centers.
Purpose of the Study:
- To review the experience with traumatic flank hernias at a level I trauma center.
- To clarify the optimal timing and role of surgical intervention.
Main Methods:
- A prospectively maintained database was queried for patients with traumatic flank hernias.
- Patient demographics, injury mechanisms, associated injuries, and repair outcomes were analyzed.
Main Results:
- Twenty-five patients (0.2% of blunt trauma cases) presented with traumatic flank hernias, mostly from motor vehicle crashes.
- Repairs were performed immediately, delayed, or late, with 1 mortality and 3 recurrences observed.
- Length of stay correlated with associated injury severity.
Conclusions:
- Traumatic flank hernias are more prevalent than previously thought.
- Early recognition, precise surgical timing, and appropriate techniques are essential for successful repair.
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