Mercer University School of Medicine and Medical Center of Central Georgia, Departments of Surgery, Trauma and Surgical Critical Care, and Emergency Medicine, Macon, GA, USA.
J Pediatr Surg. 2013 Apr;48(4):e21-4. doi: 10.1016/j.jpedsurg.2013.02.039.
Traumatic abdominal wall hernia (TAWH) from high speed mechanism is a unique finding in adult trauma, and exceedingly rare in pediatrics. The majority of reports are of low-speed "handlebar" hernias associated with direct injury by bicycle handlebars. We report a series of three pediatric patients in motor vehicle collisions (MVC) who experienced TAWH by lap-belt and associated intra-abdominal injuries necessitating immediate operative intervention. Different operative approaches were used in each case to manage the varying types of disruptions. This adds to the pediatric literature the largest series of its kind.
创伤性腹壁疝（TAWH）由高速机制引起，是成人创伤中的一种独特发现，在儿科中极为罕见。大多数报告都是与自行车把手直接损伤相关的低速“把手”疝。我们报告了一系列在机动车碰撞（MVC）中发生 TAWH 的 3 名儿科患者，他们通过安全带经历了 TAWH，并伴有需要立即手术干预的腹腔内损伤。在每种情况下都使用了不同的手术方法来处理不同类型的破裂。这在儿科文献中增加了同类中最大的系列。
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