Laparoscopic repair of traumatic abdominal wall hernia from handlebar injury

Minimally Invasive Surgery for Pediatric Trauma—A Multicenter Review

“…Despite these proposed treatment algorithms, the literature describing the use of MIS in children remains limited, being primarily based on case reports and small series. [5][6][7][8][9][10][11][12][13] This study provides a contemporary representation of current MIS applications in pediatric trauma, with far more cases than previously reported. We found that MIS was used successfully as a diagnostic tool to exclude an injury in 61% of the 132 successfully performed procedures, corresponding to 40% of the study population.…”

Paediatric abdominal wall hernia following handlebar injury: should we diagnose more and operate less?

“…Handlebar injuries have been cited in the literature as the most common cause (35%) followed by crush (25%) and seatbelt injury (19%) 3 13. The term ‘handlebar hernia’ was first introduced for TAWH by Dimyan et al in 1980, but the first case was described earlier in 1906 by Selby 2 4 6 8 10 12 14–16…”

Traumatic abdominal wall hernias: an emerging trend in handlebar injuries

“…The surgery involves primary repair of the hernia defect with exploration of the abdominal contents for associated injury. A laparoscopic approach for the repair of a handlebar hernia using an ENDO CLOSE (Covidien, Mansfield, MA) device has recently been described with a favorable outcome [31]. Most reports describe a primary closure of the hernia, although repair using a prosthetic mesh has also been described in the pediatric age group [17].…”

“…The Yale Human Investigations Committee approved a retrospective review of medical records for a 4-year period from January 1, 2007, to December 31,2010. The medical records of all pediatric trauma patients (aged b16 years of age) evaluated at the Yale-New Haven Children's Hospital Emergency Department with the mechanism of injury listed as "bike" were reviewed.…”