Traumatic abdominal wall hernia
Overview
Traumatic Abdominal Wall Hernia (TAWH) represents a rare type of hernias in general, with incidence estimated to be 1%.[1] The first case was reported by Selby in 1906. Till now, about 100 cases have been reported worldwide, with noticed increase in cases in the last two decades.[2]
TAWH is defined as herniation of viscera occurring after a force is applied on the abdomen in a patient without preexisting abdominal hernia, resulting in disruption of muscles and fascia with maintaining skin continuity. [3] The criteria for diagnosing TAWH were suggested by McWhorten in 1939, and they are: 1- Immediate occurrence following blunt trauma, 2- Severe pain at the site of the injury, 3- Which cause the patient to present in the first 24 hours, 4- No previous hernia. Later, these criteria have been modified to include: Intact Skin over the hernia and no evidence of hernial sac during surgery.[4]
Traumatic abdominal wall hernia is generally classified into three types , a small abdominal wall defect caused by low-energy trauma with small instruments (e.g. bicycle handlebar), a larger abdominal wall defect caused by high-energy transfer such as motor vehicle accident or a fall from a height, and rarely intra-abdominal herniation of bowel with deceleration injures.[5]
Mechanism
Presentation and Diagnosis
Management
References
- ↑ Netto FA, Hamilton P, Rizoli SB; et al. (2006). "Traumatic abdominal wall hernia: epidemiology and clinical implications". J Trauma. 61 (5): 1058–61. doi:10.1097/01.ta.0000240450.12424.59. PMID 17099509. Unknown parameter
|month=ignored (help) - ↑ Yücel N, Uğraş MY, Işık B, Turtay G (2010). "Case report of a traumatic abdominal wall hernia resulting from falling onto a flat surface". Ulus Travma Acil Cerrahi Derg. 16 (6): 571–4. PMID 21153955. Unknown parameter
|month=ignored (help) - ↑ Hardcastle TC, Du Toit DF, Malherbe C; et al. (2005). "Traumatic abdominal wall hernia--four cases and a review of the literature". S Afr J Surg. 43 (2): 41–3. PMID 16035382. Unknown parameter
|month=ignored (help) - ↑ Damschen DD, Landercasper J, Cogbill TH, Stolee RT (1994). "Acute traumatic abdominal hernia: case reports". J Trauma. 36 (2): 273–6. PMID 8114153. Unknown parameter
|month=ignored (help) - ↑ Wood RJ, Ney AL, Bubrick MP (1988). "Traumatic abdominal hernia: a case report and review of the literature". Am Surg. 54 (11): 648–51. PMID 2973272. Unknown parameter
|month=ignored (help)