Inguinal hernia due to direct trauma: Technique of operation

McWHORTER, Golder L.

doi:10.1016/s0002-9610(39)90420-4

Cited by 25 publications

(8 citation statements)

References 4 publications

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“…McWhorter proposed six criteria for the diagnosis of TAH, including immediate appearance after the trauma, the previous inexistence of a hernia in this region, and evidence that the trauma was sufficient to cause a lesion of this type (12). Clain, in 1964, additionally suggests that there should be no penetration of the skin, and that the physician should have been consulted while the signs of trauma were still evident (1).…”

Section: Discussionmentioning

confidence: 99%

“…The first case, due to direct impact against the handle of a wheelbarrow, was reported by Selby in 1906 (18). The first case due to impact against the handlebars of a bicycle was reported by McWhorter in 1939 (12). In a review of the English literature, we have found 20 clear cases of handlebar hernia (understood to mean hernia due to direct impact against the handlebars of a bicycle or motorcycle), 12 of these in children.…”

Section: Introductionmentioning

confidence: 96%

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Handlebar Hernia in Children: Two Cases and Review of the Literature

Arias

Carbonell²,

Martínez³

et al. 2004

Eur J Pediatr Surg

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Localised traumatic abdominal hernias are rare. Most such hernias are due to the direct impact of the handlebars of a bicycle or motorcycle, with 20 cases reported to date in the English language literature, 12 in children. We report two new cases of handlebar hernia, in children aged 6 and 10 years. In both cases, physical examination revealed an area of contusion and bruising in the lower abdomen. However, the muscle defect was detected during the first examination in only one of the patients, and not until several days later in the other patient. Abdominal ultrasonography proved useful for diagnosis in both patients. Early surgical correction is necessary to prevent possible complications. This type of hernia should be borne in mind when evaluating children who have suffered abdominal trauma in a bicycle accident.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Handlebar Hernia in Children: Two Cases and Review of the Literature

Arias

Carbonell²,

Martínez³

et al. 2004

Eur J Pediatr Surg

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“…In 1939, McWhorter [8] reported a case of TAWH and proposed a list of criteria for diagnosis. These criteria were revised and simplified by Clain [9] in 1964 and became the basis for TAWH criteria used today ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

Traumatic Abdominal Wall Hernia: Early or Delayed Repair?

Akbaba¹,

Gündoğdu²,

Temel³

et al. 2014

Indian J Surg

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Traumatic abdominal wall hernia after blunt trauma is a rare entity. They can easily be overlooked in patients who have multiple trauma, as its signs and symptoms may be variable due to the presence of multiple injuries. Imaging with computed tomography or ultrasound confirms the diagnosis as well as identifying any associated injuries. Although surgery is the standard treatment for traumatic abdominal wall hernias, there is no consensus on the early or late repair of the defect. Some authors recommend early surgical intervention in order to avoid the risk of intra-abdominal organ injury, incarceration, and strangulation. In this study, we report our experience in three cases, which did not involve emergency surgery. Long-term outcome is successful. Elective hernia repair may be safe and feasible in stable patients.

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“…Various criteria have been laid down from time to time to define TAWH, but of prime importance is the presence of intact skin at the site of herniation, and the absence of any hernia at the site prior to the trauma. [4,5] TAWH usually occurs as result of a direct blow to the abdominal wall, which results in disruption of the muscle layers, but the skin remains intact since the force was not sufficient enough to penetrate the skin. A tangential shearing force associated with increase in abdominal pressure has also been hypothesized to be responsible for muscle or fascial disruption.…”

Section: Discussionmentioning

confidence: 99%

Traumatic abdominal wall hernia

Gupta¹,

Dalal²,

Sharma³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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AMAÇKünt karın travmasının yüksek prevalansına karşın, travmatik karın duvarı hernisi (TKDH) ile nadiren karşılaşıl-maktadır. Değişken prezantasyonu ile birlikte bu antiteye ilişkin farkındalığın azlığı nedeniyle tanısı güçlükle konulmaktadır. GEREÇ VE YÖNTEMHastanemizde ameliyat edilen TKDH'li bütün hastaların dosyaları, retrospektif olarak gözden geçirildi ve analiz edildi.BULGULAR TKDH'li toplam 11 hasta değerlendirildi (8 erkek, 3 kadın). Klinik tablo çeşitliydi; palpe edilebilen bir defekt ve redükte edilebilir şişlik (n=6), redükte edilemeyen şişliğe ilişkin lokalize alan (n=3), cerrahi amfizem (n=2) ve sellülit/apse formasyonu (n=2). Hastaların tamamı, hastaneye yatırılmalarından itibaren 24 saat içinde ameliyat edildi. Geç başvuran 3 hasta dışında kalanlarda, sonuç olumlu idi. Mortalite nedeni muhtemelen bağırsağın boğulması ile gelişen perforasyona bağlı septisemi idi. SONUÇNadir olmakla birlikte TKDH, tanı ve müdahalede bir gecikme olması durumunda anlamlı morbidite ve mortalite ile birliktedir. Erken girişim sonucu anlamlı olarak iyileştir-mektedir.Anahtar Sözcükler: Karın duvarı; künt travma; herni.

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Inguinal hernia due to direct trauma: Technique of operation

Cited by 25 publications

References 4 publications

Handlebar Hernia in Children: Two Cases and Review of the Literature

Handlebar Hernia in Children: Two Cases and Review of the Literature

Traumatic Abdominal Wall Hernia: Early or Delayed Repair?

Traumatic abdominal wall hernia

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