- Title
- Acute repair of traumatic abdominal muscle avulsion from iliac crest: a mesh-free technique using suture anchors
- Creator
- Söderlund, Tim; Yoshino, Osamu; Bendinelli, Cino; Enninghorst, Natalie; Balogh, Zsolt J.
- Relation
- Injury Vol. 44, Issue 9, p. 1257-1259
- Publisher Link
- http://dx.doi.org/10.1016/j.injury.2013.03.028
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2013
- Description
- Traumatic lumbar hernia is described as extrusion of intra-peritoneal or extra-peritoneal contents through a defect in the lateral abdominal wall. The injury is most commonly located in the triangle formed by the posterior margin of external oblique muscle, lateral border of latissimus dorsi muscle and aponeuroses of transversus muscle and internal oblique muscle, which are continuous with lumbodorsal fascia. In blunt trauma, abdominal muscle rupture with or without herniation is found in 0.9% of the patients having abdominal computed tomography (CT) on admission and in 0.2% of all blunt-trauma patients.3 Associated intra-abdominal injuries are extremely common (up to 80%) but not a rule. Emergent laparotomy is required in up to 50% of patients with traumatic hernia. Diagnosis of these injuries can be made on CT, but often due to other injuries and haemodynamic instability the diagnosis is intra-operative during laparotomy. When abdominal muscle avulsion from iliac crest occurs, primary repair is usually difficult because of either muscle retraction (due to delayed presentation or staged procedure) or lack of ‘proper bites’ of fascia from the iliac crest. Elective mesh repair with suture of mesh to recovered fascia has been proposed in these cases.
- Subject
- abdominal muscle avulsion; iliac crest; mesh-free technique; suture anchors
- Identifier
- http://hdl.handle.net/1959.13/1317767
- Identifier
- uon:23498
- Identifier
- ISSN:0020-1383
- Language
- eng
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