Conservative management of a traumatic abdominal wall hernia after a bicycle handlebar injury (case report and literature review)

Traumatic Spigelian Hernia Due to Handlebar Injury in a Child: A Case Report and Review of Literature

“…As far as the treatment of traumatic Spigelian hernia is concerned, there is no standard protocol and immediate surgical repair may not always be required. Spontaneous healing may occur if the defect is small and there is no other associated injury [8].In this case, since the patient had come after a gap of 5 weeks and the defect was sizable, we proceeded with the open surgery. Now Spigelian hernia is being repaired laparoscopically, but the traumatic Spigelian hernia in the paediatric age group being repaired laparoscopically has been reported only recently [9].…”

Laparoscopic repair of traumatic abdominal wall hernia from handlebar injury

“…Fewer than 35 cases of handlebar hernias have been reported in children [6][7][8] and less than 30 cases in adults [9][10][11]. Diagnostic laparoscopy has been used to identify injuries including traumatic hernias and other intraabdominal injuries before conversion to open repair, and laparoscopic repair of a traumatic jejunal perforation has been reported in hemodynamically stable pediatric patients [5,12,13].…”

“…Most reports addressing traumatic hernia repair discuss performing open exploratory laparotomy to identify associated injuries or performing open repair through the hernia defect [7,18]. One study suggests that observation of the hernia defect may be appropriate in selected cases where visceral injury is not suspected and that spontaneous resolution of the hernia may occur [7].…”

“…One study suggests that observation of the hernia defect may be appropriate in selected cases where visceral injury is not suspected and that spontaneous resolution of the hernia may occur [7]. However, such a strategy could result in future incarceration or complications related to loss of the patient to follow-up if the hernia was not repaired.…”

Traumatic abdominal wall hernia—a case report and literature review

“…Presence of a handlebar imprint on the abdominal wall [1][2][3]6,7,[9][10][11][12][13][14] confers increased risk of significant abdominal trauma. Gera et al [7] report 70 cases of pediatric bicycle handlebar injury to the abdomen; 80% (17/21) of those with handlebar imprint had associated serious abdominal injury including 3 cases of TAWH.…”