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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
HERRERA-TORO, Natalia and FLOREZ-ARANGO, Natalia. Traumatic hernias of the abdominal wall in pediatrics: Series of three cases. rev. colomb. cir. [online]. 2022, vol.37, n.4, pp.632-639. Epub June 26, 2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.2174.
Introduction.
Traumatic hernias of the abdominal wall in children are a very rare entity, with few cases described. They are injuries caused by blunt trauma when the forces resulting from low-energy trauma to break the skin, but enough to produce a disruption of the muscle fibers and fascia.
Methods.
Three clinical cases of traumatic hernias in children are presented, one type I and the other two type II, whose diagnosis and surgical treatment were carried out by the pediatric surgery service in a high-level hospital in Colombia.
Results.
The three patients underwent surgical management without prosthesis, one by open approach and the other two by video-assisted surgery, with good evolution and no recurrence during follow-up.
Discussion.
Traumatic hernias of the abdominal wall are more common in male patients as in our cases, and on the right side of the abdomen. The diagnosis of this type of hernia is clinical and based on images, taking into account that there is no history of hernia in the affected region. The treatment is surgical, but its timing and the use of prosthetic materials are controversial, since there is the possibility of recurrence in the first few months in cases of primary repair.
Conclusion.
Despite the rarity of this entity, we present three pediatric patients who underwent early diagnosis and surgical management, with good evolution and follow-up for more than three years.
Keywords : hernia; abdominal hernia; wounds and injuries; nonpenetrating injuries; surgical procedures.