Traumatic abdominal wall hernia: Difference between revisions
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Revision as of 12:25, 14 April 2012
Overview
Traumatic Abdominal Wall Hernia (TAWH) represents an infrequent form of hernia and constitutes 1% of cases.[1]
Historical Perspective
The first case was reported by Selby in 1906.
Epidemiology and Demographics
There have been 100 cases reported worldwide. The frequency of cases has increased in the last two decades.[2]
Pathophysiology
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]
Diagnosis
The criteria for diagnosing TAWH were suggested by McWhorten in 1939, and they are:
- Immediate occurrence following blunt trauma
- Severe pain at the site of the injury
- Patient presents within the first 24 hours
- 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]
Classification
Traumatic abdominal wall hernia is generally classified into three types [5]
- 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
- Iintra-abdominal herniation of bowel with deceleration injures (rare)
Treatment
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)