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1.
Cir Esp (Engl Ed) ; 2024 Jul 13.
Article in English | MEDLINE | ID: mdl-39009304

ABSTRACT

Traumatic abdominal wall hernia (TAWH) is a protrusion of contents through a defect in the abdominal wall as a consequence of a blunt injury. The objective of this review was to describe demographic and clinical aspects of this rare pathology, identifying the optimal moment for surgical intervention, evaluating the need to use mesh, and analyzing the effectiveness of surgical treatment. Thus, a systematic review using PubMed, Embase, and Scopus databases was carried out between January 2004 and March 2024. Computed tomography is the gold-standard imaging test for diagnosis. Open surgery is generally the preferred approach, particularly in emergencies. Acute TAWH can be treated by primary suture or mesh repair, depending on local conditions, while late cases usually require mesh.

2.
J Neurosurg ; 117(4): 795-9, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22900844

ABSTRACT

The authors report the case of a 50-year-old woman with a benign intermuscular lipoma of the gluteus compressing the sciatic nerve in its course through the sciatic notch. This benign soft-tissue tumor extended into the pelvis, displacing the rectum laterally. Resection was necessary to alleviate symptoms and prevent irreversible damage of the nerve. Wide exposure of the piriformis muscle and sciatic nerve via a transgluteal approach allowed safe lesion removal, and thus avoiding a laparotomy to resect the intrapelvic extension of the tumor. This report features a curious case of soft-tissue tumor growth across the sciatic foramen forming an inverted sciatic hernia. The authors' proposed approach was simple and safe and avoided a laparotomy.


Subject(s)
Hernia/etiology , Lipoma/complications , Muscle Neoplasms/complications , Muscle, Skeletal , Nerve Compression Syndromes/etiology , Sciatic Nerve , Buttocks , Contraindications , Decompression, Surgical/methods , Female , Hernia/therapy , Humans , Laparotomy , Lipoma/diagnostic imaging , Middle Aged , Muscle Neoplasms/diagnostic imaging , Nerve Compression Syndromes/surgery , Tomography, X-Ray Computed , Treatment Outcome
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