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Traumatic disruption of the abdominal wall: Lap-belt injuries in children

  • Jacob R. Moremen
    Correspondence
    Corresponding author. MCCG Department of Surgery, Macon, GA 31201, USA. Tel.: +1 859 312 3601; fax: +1 478 633 5153.
    Affiliations
    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
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  • Don K. Nakayama
    Affiliations
    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
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  • Dennis W. Ashley
    Affiliations
    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
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  • Matthew Astin
    Affiliations
    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
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  • Tracy L. Nolan
    Affiliations
    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
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      Abstract

      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.

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