@article{ref1, title="Laparoscopic-assisted management of traumatic abdominal wall hernias in children: case series and a review of the literature", journal="Journal of pediatric surgery", year="2015", author="Talutis, Stephanie D. and Muensterer, Oliver J. and Pandya, Samir and McBride, Whitney and Stringel, Gustavo", volume="50", number="3", pages="456-461", abstract="BACKGROUND: Traumatic abdominal wall hernia (TAWH) is defined as herniation through a disrupted portion of musculature/fascia without skin penetration or history of prior hernia. In children, TAWH is a rare injury.

OBJECTIVE: The objectives of this study were to report our experience with different management strategies of TAWH in children and to determine the utility of laparoscopy. Design/method: A retrospective chart review of all children treated by pediatric surgery at our institution for TAWH in a 5 year interval was performed. Data were collected on mechanism of injury, initial patient presentation, surgical management, and outcomes.

RESULTS: We present 5 cases of traumatic abdominal wall hernia; 3 were managed using laparoscopic assistance. One patient was managed nonoperatively. All patients 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 abdominal trauma. Laparoscopy is useful mainly as a diagnostic modality, both to evaluate the hernia and associated injuries to intraabdominal structures. Its use may facilitate repair through a smaller incision. Conservative management of TAWH may be appropriate in select cases where there is a low risk of bowel strangulation. (C) 2015 Elsevier Inc. All rights reserved. Keywords:Abdominal wall hernia; Trauma; Children; Laparoscopy; Handlebar injury; Bicycling; Bicyclists

Language: en

", language="en", issn="0022-3468", doi="10.1016/j.jpedsurg.2014.10.020", url="http://dx.doi.org/10.1016/j.jpedsurg.2014.10.020" }