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Laparoscopic omentectomy for omental infarction after bicycle handlebar injury
Carmen T Ramos1, Robert Sammartano
1Division of Pediatric Surgery, Children's Hospital and the Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10467-2490, USA. cramos@montefiore.org
Insights
Handlebar injuries in children can cause severe internal damage. This case highlights a rare isolated omental injury treated successfully with laparoscopic omentectomy, a minimally invasive approach.
Area of Science:
- Pediatric surgery
- Trauma surgery
- Minimally invasive surgery
Background:
- Handlebar injuries in children frequently lead to significant gastrointestinal and solid organ damage.
- Omental injuries are rare complications of blunt abdominal trauma.
Observation:
- A 6-year-old child sustained blunt trauma from a bicycle handlebar.
- The child presented with an isolated omental injury.
Findings:
- A laparoscopic omentectomy was successfully performed using the LigaSure Atlas device.
- This approach effectively controlled bleeding from traumatic omental infarction.
Implications:
- Laparoscopic omentectomy is a viable treatment for isolated omental injuries in children.
- Electrothermal bipolar vessel sealing devices offer advantages in managing traumatic omental bleeding.
Abstract:
Handlebar injuries in children are commonly associated with significant gastrointestinal and solid organ damage. In this paper, we report a rare case of an isolated omental injury in a 6-year-old child after a blunt trauma with a bicycle handlebar. We describe a successful laparoscopic omentectomy performed with the LigaSure Atlas. This is the first report to describe the advantages of laparoscopy and the use of electrothermal bipolar vessel sealers, such as the LigaSure Atlas device, for the control and treatment of bleeding owing to traumatic omental infarction.
