3,277 results match your criteria Abdominal Trauma Penetrating


Application of an external fixator vascular compressor (EFVC) in the critically injured trauma patient: a novel damage control technique.

Eur J Orthop Surg Traumatol 2019 Apr 16. Epub 2019 Apr 16.

Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, 5841 S. Maryland Ave., Chicago, IL, 60637, USA.

Methods of controlling hemorrhage in penetrating abdominal injuries are varied, ranging from electrocautery, ligation, laparotomy sponge packing, angiography, hemostatic agents, and direct manual pressure. Unfortunately, traditional methods are sometimes unsuccessful due to the location or nature of the hemorrhage, and manual pressure cannot be held indefinitely. We describe a novel damage control technique for hemorrhage control in these situations, followed by three cases where an external fixator vascular compressor (EFVC) was used to hold continual pressure. Read More

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http://link.springer.com/10.1007/s00590-019-02439-x
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http://dx.doi.org/10.1007/s00590-019-02439-xDOI Listing
April 2019
1 Read

A contemporary review of adult bladder trauma.

J Inj Violence Res 2019 Apr 13;11(2). Epub 2019 Apr 13.

Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA. Email:

Injuries to the bladder are infrequent and commonly result from blunt, penetrating, or iatrogenic trauma. Bladder injuries may be missed as they often present concomitantly with other abdominal and pelvic injuries; however, early detection and treatment are essential as morbidity and mortality may be significant. Gross hematuria, especially in the setting of pelvic fractures, may be indicative of a bladder injury which can be confirmed with cystography. Read More

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http://www.jivresearch.org/jivr/index.php/jivr/article/view/
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http://dx.doi.org/10.5249/jivr.v11i2.1069DOI Listing
April 2019
3 Reads

Screening Laboratory Testing in Asymptomatic Minor Pediatric Blunt Trauma Leads to Unnecessary Needle Sticks.

Pediatr Emerg Care 2019 Apr 9. Epub 2019 Apr 9.

Saint Louis School of Medicine, St. Louis.

Objective: Screening blood work after minor injuries is common in pediatric trauma. The risk of missed injuries versus diagnostic necessity in an asymptomatic patient remains an ongoing debate. We evaluated the clinical utility of screening blood work in carefully selected asymptomatic children after minor trauma. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001810DOI Listing

Selective non-operative management for penetrating splenic trauma: a systematic review.

Eur J Trauma Emerg Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Trauma, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Introduction: The treatment of abdominal solid organ injuries has shifted towards non-operative management (NOM). However, the feasibility of NOM for penetrating splenic trauma is unclear and outcome is believed to be worse than NOM for penetrating liver and kidney injuries. Hence, the aim of the current systematic review was to evaluate the feasibility of selective NOM in penetrating splenic injury. Read More

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http://link.springer.com/10.1007/s00068-019-01117-1
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http://dx.doi.org/10.1007/s00068-019-01117-1DOI Listing
April 2019
2 Reads

"Pop in a scope": attempt to decrease the rate of unnecessary nontherapeutic laparotomies in hemodynamically stable patients with thoracoabdominal penetrating injuries.

Surg Endosc 2019 Apr 8. Epub 2019 Apr 8.

Division of General Surgery and Trauma, Department of Surgery, Hospital das Clínicas, University of Sao Paulo, São Paulo, Brazil.

Background: Management of patients with thoracoabdominal penetrating injuries is challenging. Thoracoabdominal penetrating trauma may harbor hollow viscus injuries in both thoracic and abdominal cavities and occult diaphragmatic lesions. While radiological tests show poor diagnostic performance in these situations, evaluation by laparoscopy is highly sensitive and specific. Read More

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http://dx.doi.org/10.1007/s00464-019-06761-7DOI Listing

Abdominal and Pelvic Vascular Injury: A National Trauma Data Bank Study.

Am Surg 2019 Mar;85(3):292-293

The aim of this study was to characterize the outcomes of traumatic abdominal and pelvic vascular injuries. Using the 2012 National Trauma Data Bank, we identified 5858 patients with major abdominal and/or pelvic vascular injury. Patients were stratified by age group, gender, race, Injury Severity Score (ISS), and mechanism of injury. Read More

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Laparoscopic Transgastric Sutured Cystogastrostomy for Post-traumatic Pancreatic Pseudocyst in a Low Resource Setting: Case Report and Literature Review.

West Afr J Med 2019 Jan-Apr;36(1):80-82

General Surgery Unit, Department of Surgery, Faculty of Clinical Sciences College of Medicine, University of Lagos & Lagos University Teaching Hospital, PMB 12003, Idi-Araba. Lagos. Nigeria.

Pancreatic pseudocyst (PPC) complicating blunt and penetrating abdominal injury is well documented in paediatric age groups. In adults, PPC is often one of the sequelae of acute pancreatitis rather than trauma. Blunt abdominal trauma accounts for most documented cases of post-traumatic PPC. Read More

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March 2019
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[New laparoendoscopic and minimally invasive extraperitoneal mesh augmentation techniques for ventral hernia repair].

Authors:
G Köhler

Chirurg 2019 Mar 25. Epub 2019 Mar 25.

Abteilung für Allgemein- und Viszeralchirurgie, Krankenhaus der Barmherzigen Schwestern - Ordensklinikum Linz, Seilerstätte 4, 4010, Linz, Österreich.

In recent years techniques for ventral hernia repair have undergone a dynamic evolution with the development of minimally invasive and laparoendoscopic techniques. Despite the multitude of methods, five main criteria for setting the target have emerged: 1) functional and morphological reconstruction of the abdominal wall, 2) extraperitoneal mesh augmentation, 3) abandonment of penetrating fixation elements, 4) minimal surgical access trauma of the abdominal wall and 5) minimized intraperitoneal dissection that jeopardizes adherent intestinal structures. The mesh position varies between preperitoneal retromuscular and supraneurotic or preaponeurotic on the anterior rectus sheath. Read More

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http://link.springer.com/10.1007/s00104-019-0947-8
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http://dx.doi.org/10.1007/s00104-019-0947-8DOI Listing
March 2019
3 Reads

Surgical management of chronic diaphragmatic hernias.

J Thorac Dis 2019 Feb;11(Suppl 2):S177-S185

Unit of Thoracic Surgery, Department of Surgical Sciences, San Giovanni Battista Hospital, University of Torino, Torino, Italy.

Chronic diaphragmatic hernia (CDH) is an uncommon disease which may be associated with significant morbidity and mortality. Antecedent (even many months or years before CDH development) blunt or penetrating thoracic/thoraco-abdominal trauma is generally recognized. A wide spectrum of different mechanisms of injury, timing in presentation, size of the diaphragmatic defect, types and amount of abdominal viscera herniated into the chest cavity, clinical symptoms are observed in CDHs. Read More

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http://dx.doi.org/10.21037/jtd.2019.01.54DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389560PMC
February 2019
1 Read

Diaphragm and transdiaphragmatic injuries.

J Thorac Dis 2019 Feb;11(Suppl 2):S152-S157

Department of Thoracic & Vascular Surgery, "EVANGELISMOS" General Hospital, Athens, Greece.

The incidence of traumatic diaphragmatic rupture (TDR) is around 0.5% of all trauma patients, located more frequently on the left side (80%), with penetrating trauma being more predominantly the cause (63%) than blunt injuries (37%). TDR typically develops during thoracoabdominal injuries and outcome depends on the severity of the associated organ lesion. Read More

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http://dx.doi.org/10.21037/jtd.2018.10.76DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389556PMC
February 2019
1 Read

Combined penetrating trauma of the head, neck, chest, abdomen and scrotum caused by falling from a high altitude: A case report and literature review.

Int Emerg Nurs 2019 Mar 19. Epub 2019 Mar 19.

Department of Nursing, Qilu Hospital of Shandong University, Jinan, China. Electronic address:

This report describes an extremely rare case of combined penetrating trauma that includes the head, neck, chest, abdomen and scrotum. A 46-year-old male construction worker fell from a 5-metre-high platform, and a rebar that was fixed vertically on the ground penetrated the scrotum into the pelvic and abdominal cavities, passing through the chest, neck, mouth, and nose to the outside of the body through the left side of the head. The rebar penetrated the oral cavity and was palpable on the anterior side of the neck and abdomen. Read More

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http://dx.doi.org/10.1016/j.ienj.2019.01.001DOI Listing
March 2019
1 Read

The Israeli Defense Forces Point of Injury Antimicrobial Treatment Protocol - A New Protocol and Review of the Literature.

Mil Med 2019 Mar;184(Supplement_1):78-82

Israel Defense Forces Medical Corps, Surgeon General's Headquarters, Military POB 02149 Tel Hashomer, Ramat Gan, Military Postal Code, Israel.

Introduction: Combat wound infection is a common and serious complication, leading to significant morbidity and mortality. In 2005, a point of injury antimicrobial protocol was published by the Israel Defense Forces, in which Moxifloxacin was chosen. During 2016-2017, a revision of this protocol was performed and concluded with the publication of an updated protocol. Read More

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http://dx.doi.org/10.1093/milmed/usy292DOI Listing

Diagnostic laparoscopy in penetrating abdominal trauma.

ANZ J Surg 2019 Apr 14;89(4):353-356. Epub 2019 Mar 14.

Department of Trauma, Westmead Hospital, The University of Sydney, Sydney, New South Wales, Australia.

Background: Penetrating abdominal trauma is uncommon in Australia. There are multiple potential approaches to the patient without an indication for immediate laparotomy. This study examined the management of patients with a penetrating anterior abdominal injury in a Level 1 trauma centre, and in particular investigated the outcomes of those patients who underwent diagnostic laparoscopy. Read More

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http://dx.doi.org/10.1111/ans.15140DOI Listing

Frequency and Nature of Road Traffic Injuries: Data of More than 10,000 Patients from Ha'il, Saudi Arabia.

Cureus 2019 Jan 5;11(1):e3830. Epub 2019 Jan 5.

Surgery, Pakistan Airforce Hospital Masroor Base, Karachi, PAK.

Background Road traffic accidents (RTAs) have become a major issue in today's world. They have caused the loss of more than a million lives in the last decade and are substantially increasing every day. Injuries due to RTAs can cause significant morbidity and mortality. Read More

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http://dx.doi.org/10.7759/cureus.3830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402722PMC
January 2019
6 Reads

Severe blunt trauma in Finland and Estonia: comparison of two regional trauma repositories.

Eur J Trauma Emerg Surg 2019 Jan 5. Epub 2019 Jan 5.

School of Medicine, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Purpose: Evolving trauma system of Estonia has undergone several reforms; however, performance and outcome indicators have not been benchmarked previously. Thus, we initiated a baseline study to compare demographics, management and outcomes of severely injured patients between Southern Finland and Northern Estonia utilizing regional trauma repositories.

Methods: A comparison of data fields of the Helsinki University Hospital trauma registry (HTR) and trauma registry at the North Estonia Medical Centre in Tallinn (TTR) between 1/1/2015 and 31/12/2016 was performed. Read More

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http://dx.doi.org/10.1007/s00068-018-01068-zDOI Listing
January 2019
1 Read

Nonoperative management of solid abdominal organ injuries: From past to present.

Authors:
A Leppäniemi

Scand J Surg 2019 Mar 4:1457496919833220. Epub 2019 Mar 4.

Abdominal Center, Meilahti Hospital, University of Helsinki, Helsinki, Finland.

Background And Aims:: Today, a significant proportion of solid abdominal organ injuries, whether caused by penetrating or blunt trauma, are managed nonoperatively. However, the controversy over operative versus nonoperative management started more than a hundred years ago. The aim of this review is to highlight some of the key past observations and summarize the current knowledge and guidelines in the management of solid abdominal organ injuries. Read More

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http://dx.doi.org/10.1177/1457496919833220DOI Listing
March 2019
2 Reads

Traumatic Diaphragmatic Lesions - Considerations Over a Series of 15 Consecutive Cases.

Chirurgia (Bucur) 2019 Jan-Feb;114(1):73-82

Diaphragmatic injuries are produced by blunt or penetrating thoracoabdominal trauma. They are potentially life-threatening due to the herniation of abdominal organs into the pleural cavities and severe associated lesions. The aim of this retrospective study was to analyse the clinical presentation and management of patients admitted with diaphragmatic rupture in our institution. Read More

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http://dx.doi.org/10.21614/chirurgia.114.1.73DOI Listing
February 2019
1 Read

Thoracic dog bite wounds in cats: a retrospective study of 22 cases (2005-2015).

J Feline Med Surg 2019 Feb 26:1098612X19831835. Epub 2019 Feb 26.

Soft Tissue Surgery Service, Department of Clinical Science and Services, Royal Veterinary College, London, UK.

Objectives: The aim of this study was to describe a series of cats suffering from thoracic dog bite wounds, in order to detail the clinical, radiographic and surgical findings, and evaluate outcomes and factors associated with mortality.

Methods: The medical records of cats with thoracic dog bite wounds presenting to a single institution between 2005 and 2015 were retrospectively reviewed. Data relating to clinical presentation, wound depth and management, radiographic findings, surgical findings and mortality were collected. Read More

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http://dx.doi.org/10.1177/1098612X19831835DOI Listing
February 2019
1 Read

Management of penetrating intraperitoneal colon injuries: A meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma.

J Trauma Acute Care Surg 2019 Mar;86(3):505-515

From the Department of Surgery, Marshfield Clinic, Marshfield, Wisconsin (D.C.C.); Division of Trauma, Stony Brook University School of Medicine, Stony Brook, New York (R.S.J.); Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio (J.J.C.); Department of Surgery, Holmes Medical Center, Melbourne, Florida (A.M.); Department of Surgery, Intermountain Health Care, Murray, Utah (D.S.M.); Department of Surgery, Kern Medical Center, Bakersfield, California (J.C.); Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee (O.D.G.); Department of Surgery, Virginia Commonwealth University, Richmond, Virginia (S.R.G.); Department of Surgery, Baylor University Medical Center, Dallas, Texas (L.P.); Department of Surgery, West Virginia University Medical Center, Morgantown, West Virginia (G.S.); Department of Surgery, Montreal General Hospital, Montreal, Quebec, Canada (K.A.K.); Department of Surgery, Oregon Health & Science University, Portland, Oregon (S.E.R.); Department of Surgery, Legacy Emmanuel Medical Center, Portland, Oregon (R.R.B.); Department of Surgery, St. Vincent's Hospital, Dublin, Ireland (G.A.B.); Department of Surgery, Boston Medical Center, Boston, Massachusetts (G.K.); and Department of Surgery, University of Washington, Seattle, Washington (B.R.H.R.).

Background: The management of penetrating colon injuries in civilians has evolved over the last four decades. The objectives of this meta-analysis are to evaluate the current treatment regimens available for penetrating colon injuries and assess the role of anastomosis in damage control surgery to develop a practice management guideline for surgeons.

Methods: Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, a subcommittee of the Practice Management Guidelines section of EAST conducted a systematic review using MEDLINE and EMBASE articles from 1980 through 2017. Read More

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http://dx.doi.org/10.1097/TA.0000000000002146DOI Listing
March 2019
6 Reads

Abdominal trauma: experience of 4961 cases in Western Mexico.

Cir Cir 2019 ;87(2):183-189

Servicio de Cirugía Medicina Legal, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.

Introduction: Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity.

Objective: To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico. Read More

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http://dx.doi.org/10.24875/CIRU.18000509DOI Listing
January 2019
1 Read

Is Obesity Protective in Thoracoabdominal Penetrating Trauma?

Am Surg 2019 Jan;85(1):34-38

The incidence of obesity has been increasing in the United States, and the medical care of obese patients after injury is complex. Obesity has been linked to increased morbidity after blunt trauma. Whether increased girth protects abdominal organs from penetrating injury or complicates management from obesity-associated medical comorbidities after penetrating injury has not been well defined. Read More

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January 2019

Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan.

Cureus 2018 Nov 17;10(11):e3604. Epub 2018 Nov 17.

General Surgery, Jinnah Postgraduate Medical College, Karachi, PAK.

Introduction Abdominal injuries are responsible for 10% of the mortalities due to trauma. Delays in early diagnosis or misdiagnoses are two major reasons for the mortality and morbidity associated with abdominal trauma. The objectives of this study were to determine the frequency of visceral injuries in patients with abdominal trauma and compare the frequency of visceral injuries in patients with blunt and penetrating abdominal trauma. Read More

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http://dx.doi.org/10.7759/cureus.3604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338406PMC
November 2018
3 Reads

Evaluation of intra-abdominal solid organ injuries in children.

Acta Biomed 2019 Jan 15;89(4):505-512. Epub 2019 Jan 15.

.

Aim: In our study we investigated characteristics and degree of intra-abdominal solid organ injuries according to tomographic imaging in pediatric patients who presented to our emergency clinic with possible abdominal injuries and to whom US and/or abdominal tomography were applied.

Materials And Methods: 1066 pediatric patients were included in the study. The age, gender, injury localization, injury type, injury mechanism, abdominal US and CT results, and treatment specifics of patients were evaulated. Read More

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http://dx.doi.org/10.23750/abm.v89i4.5983DOI Listing
January 2019

Current treatment procedures for civilian gunshot wounds.

Rozhl Chir Winter 2018;97(12):558-562

Introduction: This work provides an overview of the incidence of gunshot wounds during peace conditions in a civilian population and aims to assess the principles of their treatment.

Method: We evaluated a total of 104 patients with gunshot wounds with an average age of 38.7 years (range 1871). Read More

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January 2019
9 Reads

Evaluation of Thoracoscopy with Single-Lumen Endotracheal Tube Intubation and Laparoscopy in the Diagnosis of Occult Diaphragmatic Injuries in Penetrating Thoracoabdominal Trauma.

J Laparoendosc Adv Surg Tech A 2019 Jan 10. Epub 2019 Jan 10.

Department of Surgery, Dr. George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Background: The diagnosis of traumatic diaphragmatic injuries (TDIs) after penetrating thoracoabdominal trauma is challenging and conventional imaging is unreliable. Laparoscopy and thoracoscopy are minimally invasive modalities of choice in the diagnosis and management of TDI. A little is known on the value of thoracoscopy with single-lumen endotracheal tube intubation (SLETI) in the diagnosis of occult diaphragmatic injuries, and how it compares with laparoscopy. Read More

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http://dx.doi.org/10.1089/lap.2018.0733DOI Listing
January 2019

[Acute abdominal trauma].

Radiologe 2019 Feb;59(2):139-145

Klinik und Poliklinik für Radiologie, Klinikum der Universität München, Nußbaumstr. 20, 80336, München, Deutschland.

Background: In patients with multiple trauma, abdominal involvement is a particularly relevant injury pattern. Depending on the intensity and manner of injury, heterogeneous but often typical organ manifestations result. Knowledge of these injury patterns is essential for targeted diagnostics and treatment. Read More

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http://dx.doi.org/10.1007/s00117-018-0485-2DOI Listing
February 2019
3 Reads

Eighteen years' experience of traumatic subclavian vascular injury in a tertiary referral trauma center.

Eur J Trauma Emerg Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No.5, Fuxing St., Guishan Dist., Linkou, Taoyuan, 333, Taiwan.

Purpose: Traumatic subclavian vascular injury (TSVI) is rare but often fatal. The precise diagnosis of TSVI remains challenging mainly because of its occult nature, less typical presentations, and being overlooked in the presence of polytrauma. Compared to penetrating injuries, it is even more difficult to identify TSVI in patients who have blunt injuries and no visible bleeding. Read More

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http://dx.doi.org/10.1007/s00068-018-01070-5DOI Listing
January 2019
18 Reads

Acute Surgical Decision-Making in Abdominal Trauma Is Not Altered by Race or Socioeconomic Status.

Am Surg 2018 Dec;84(12):1869-1875

Two main procedures are performed on patients suffering from colonic perforation, diverting colostomy and primary tissue repair. We investigated patient race, ethnicity, and socioeconomic status (SES) that predicted surgical outcomes after blunt or penetrating trauma. A retrospective analysis was performed using data from the National Trauma Data Bank for three years (2013-2015). Read More

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December 2018
2 Reads

CT-guided tractography is a safe and complementary diagnostic tool in the management of penetrating abdominal trauma.

Asian J Surg 2019 Jan 7;42(1):148-154. Epub 2018 Jul 7.

University of Health Sciences, Dışkapı Yıldırım Beyazıt Research and Training Hospital, Department of General Surgery, Ankara, Turkey.

Background/objective: Despite extensive published research, the surgical approach to penetrating abdominal trauma patients is still under debate. Computed tomography-guided tractography (CTT) is an imaging modality in which water soluble iodinated contrast medium is administered into the site of the injury in the CT unit. The aim of this study was to determine the diagnostic accuracy of the CTT. Read More

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http://dx.doi.org/10.1016/j.asjsur.2018.05.007DOI Listing
January 2019
2 Reads

Outcomes after single-look trauma laparotomy: A large population-based study.

J Trauma Acute Care Surg 2019 Apr;86(4):565-572

From the Trauma Service (J.M.B., J.B., R.Y.C., M.J.S., L.E.W., W.J.B., C.E.D., C.B.S., V.B.), Scripps Mercy Hospital, San Diego, California.

Background: Outcomes following damage control laparotomy for trauma have been studied in detail. However, outcomes following a single operation, or "single-look trauma laparotomy" (SLTL), have not. We evaluated the association between SLTL and both short-term and long-term outcomes in a large population-based data set. Read More

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http://dx.doi.org/10.1097/TA.0000000000002167DOI Listing
April 2019
2 Reads

Laparoscopy for blunt abdominal trauma: A Challenging Endeavor.

Scand J Surg 2018 Dec 6:1457496918816927. Epub 2018 Dec 6.

1  Department of Surgery, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Background And Aims:: Laparoscopy in blunt abdominal trauma is challenging because of multiple associated injuries, higher trauma score values and higher morbidity and mortality, as compared with patients with penetrating abdominal trauma. The aim of this study was to investigate the role of laparoscopy in the management of blunt abdominal trauma patients and to highlight related challenges.

Material And Methods:: Over a 4-year period, patients managed laparoscopically for blunt abdominal trauma were retrospectively analyzed. Read More

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http://dx.doi.org/10.1177/1457496918816927DOI Listing
December 2018
1 Read

Traumatic lumbar hernia: clinical features and management.

Ann Surg Treat Res 2018 Dec 26;95(6):340-344. Epub 2018 Nov 26.

Department of Trauma, Gachon University Gil Medical Center, Incheon, Korea.

Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias.

Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2018.9
Publisher Site
http://dx.doi.org/10.4174/astr.2018.95.6.340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255748PMC
December 2018
16 Reads

Abdominal vascular injuries: Blunt vs. penetrating.

Injury 2019 Jan 26;50(1):137-141. Epub 2018 Nov 26.

Chulalongkorn University, Surgery, Rama4 rd, Bangkok, Thailand.

Introduction: Abdominal vascular injuries (AVIs) remain a great challenge since they are associated with significant mortality. Penetrating injury is the most common cause of AVIs; however, some AVI series had more blunt injuries. There is little information regarding differences between penetrating and blunt AVIs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183071
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http://dx.doi.org/10.1016/j.injury.2018.11.045DOI Listing
January 2019
18 Reads

Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.

World J Emerg Surg 2018 27;13:55. Epub 2018 Nov 27.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Room A280, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9 Canada.

Background: Although mandatory laparotomy has been standard of care for patients with abdominal gunshot wounds (GSWs) for decades, this approach is associated with non-therapeutic operations, morbidity, and long hospital stays. This systematic review and meta-analysis sought to summarize outcomes of selective nonoperative management (SNOM) of civilian abdominal GSWs.

Methods: We searched electronic databases (March 1966-April 1, 2017) and reference lists of articles included in the systematic review for studies reporting outcomes of SNOM of civilian abdominal GSWs. Read More

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http://dx.doi.org/10.1186/s13017-018-0215-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260713PMC
February 2019
4 Reads
1.062 Impact Factor

Management of penetrating intra-peritoneal colon injuries: A meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma.

J Trauma Acute Care Surg 2018 Nov 20. Epub 2018 Nov 20.

Department of Surgery, University of Washington, Seattle, WA.

Background: The management of penetrating colon injuries in civilians has evolved over the last four decades. The objectives of this meta-analysis are to evaluate the current treatment regimens available for penetrating colon injuries and assess the role of anastomosis in damage control surgery to develop a practice management guideline for surgeons.

Methods: Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, a subcommittee of the Practice Management Guidelines section of EAST conducted a systematic review using MEDLINE and EMBASE articles from 1980 through 2017. Read More

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http://Insights.ovid.com/crossref?an=01586154-900000000-9848
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http://dx.doi.org/10.1097/TA.0000000000002146DOI Listing
November 2018
13 Reads

Survival trends after inferior vena cava and aortic injuries in the United States.

J Vasc Surg 2018 12 28;68(6):1880-1888. Epub 2018 Jun 28.

Division of Vascular Surgery & Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex. Electronic address:

Objective: Recent studies have demonstrated an increase in trauma mortality relative to mortality from cancer and heart diseases in the United States. Major vascular injuries such as to the inferior vena cava (IVC) and aortic injuries remain responsible for a significant proportion of early trauma deaths in modern trauma care. The purpose of this study was to explore patterns in epidemiology and mortality after IVC and aortic injuries in the United States. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183099
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http://dx.doi.org/10.1016/j.jvs.2018.04.033DOI Listing
December 2018
6 Reads

Postoperative CD4 counts predict anastomotic leaks in patients with penetrating abdominal trauma.

Injury 2019 Jan 16;50(1):167-172. Epub 2018 Nov 16.

Trauma Unit/Department of Surgery, Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Road, Soweto, Gauteng, South Africa. Electronic address:

Introduction: The influence of trauma- and surgical stress-induced decrease of CD4 count on anastomotic leaks after penetrating abdominal trauma has to date not been investigated. A prospective study was performed to explore the effect of CD4 count 24 h after surgery on the anastomotic leak rate and to identify risk factors for anastomotic leaks.

Methods: This was a prospective study including 98 patients with small or large bowel resection and subsequent anastomosis due to penetrating abdominal trauma. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.028DOI Listing
January 2019
16 Reads

Superior mesenteric vein injury in penetrating abdominal trauma: A case report.

Int J Surg Case Rep 2018 29;52:40-44. Epub 2018 Sep 29.

Department of General Surgery, King Abdul-Aziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia. Electronic address:

Introduction: Injury to the superior mesenteric vein (SMV) is considerably rare amongst abdominal visceral vascular injuries. Multiple factors play a role in identifying such injuries, leading to the high morbidity and mortality associated.

Case Presentation: We report a twenty-six-year-old male sustaining a SMV injury following a self-inflected gun shot. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183040
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http://dx.doi.org/10.1016/j.ijscr.2018.09.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202787PMC
September 2018
19 Reads

Conservative management of a self-fashioned de-functioning colostomy in a patient with complex psychiatric comorbidities.

BMJ Case Rep 2018 Oct 12;2018. Epub 2018 Oct 12.

Department of General Surgery, Plymouth Hospitals NHS Trust, Plymouth, Devon, UK.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22660
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http://dx.doi.org/10.1136/bcr-2018-226607DOI Listing
October 2018
3 Reads

A new tailored protocol based on laparoscopy in the management of abdominal shotgun injuries: a case-series study.

Eur J Trauma Emerg Surg 2018 Sep 24. Epub 2018 Sep 24.

Department of General and Laparoscopic Surgery, Cairo University Hospitals (Kasr-Alainy Hospital), 41 Noubar St, Babelouk, Cairo, Egypt.

Purpose: Abdominal shotgun injuries derive their significance from the wide range of injuries they cause. The management of this type of injury has been continuously evolving. Despite the ongoing incorporation of laparoscopy in management of abdominal trauma, there is no definite protocol raising the role of laparoscopy in such injuries. Read More

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http://link.springer.com/10.1007/s00068-018-1015-7
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http://dx.doi.org/10.1007/s00068-018-1015-7DOI Listing
September 2018
4 Reads

Laparoscopy in penetrating abdominal trauma is a safe and effective alternative to laparotomy.

Surg Endosc 2018 Sep 12. Epub 2018 Sep 12.

NYU Langone Hospital - Brooklyn, 150 55th Street, Brooklyn, NY, 11220, USA.

Introduction: Diagnostic laparoscopy (DL) is an increasingly used modality when approaching penetrating abdominal trauma (PAT). Trauma surgeons can utilize this minimally invasive technique to quickly assess for injury in hemodynamically stable patients. DL with a confirmed injury can be repaired through therapeutic laparoscopy (TL) or conversion to exploratory laparotomy (EL). Read More

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http://link.springer.com/10.1007/s00464-018-6436-1
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http://dx.doi.org/10.1007/s00464-018-6436-1DOI Listing
September 2018
4 Reads

Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination.

Mil Med 2018 09;183(suppl_2):98-100

Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX.

Unlike penetrating abdominal injuries where the decision to operate is relatively straight forward, those combat casualties that sustain blunt abdominal trauma offer more of a diagnostic and clinical challenge. For unstable patients with a positive focused abdominal sonography in trauma or diagnostic peritoneal lavage, exploratory laparotomy should be undertaken immediately. All grade IV-V splenic injuries should undergo splenectomy, patients undergoing attempted splenic salvage should be monitored in the Role 3 facility and embolization of such splenic injuries may be considered if available. Read More

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https://academic.oup.com/milmed/article/183/suppl_2/98/50911
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http://dx.doi.org/10.1093/milmed/usy095DOI Listing
September 2018
9 Reads

Is the Face an Air Bag for the Brain and Torso?-The Potential Protective Effects of Severe Midface Fractures.

Am Surg 2018 Aug;84(8):1299-1302

We investigated the patterns of injury associated with major midface trauma. Our hypothesis is that midface injuries are associated with a decrease in certain traumatic brain injuries as well as major torso injuries. The registry of our Level I trauma center was queried for all adult patients treated over 25 years from 1989 to 2013. Read More

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August 2018
4 Reads

Calculated Decisions: Focused Assessment With Sonography for Trauma (FAST)

Emerg Med Pract 2018 Sep 1;18(Suppl 3):1-3. Epub 2018 Sep 1.

Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA

Focused Assessment with Sonography for Trauma (FAST) predicts the presence of pericardial or intra-abdominal injury after penetrating or blunt trauma. Read More

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September 2018
1 Read

Diagnostic laparoscopy or selective non-operative management for stable patients with penetrating abdominal trauma: What to choose?

J Minim Access Surg 2018 Sep 3. Epub 2018 Sep 3.

University of KwaZulu-Natal, Nelson R Mandela (NRMSM) Campus, Durban, South Africa.

Background: Selective non-operative management (NOM) and diagnostic laparoscopy (DL) are well-accepted approaches in the management of stable patients with penetrating abdominal trauma (PAT). The aim of this pilot study was to investigate the advantages and disadvantages of early DL in stable asymptomatic or minimally symptomatic patients with PAT as opposed to NOM, a standard of care in this scenario. The secondary aim was to suggest possible indications for DL. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_72_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438062PMC
September 2018
21 Reads

Effects of Tactical Emergency Casualty Care Training for Law Enforcement Officers.

Prehosp Disaster Med 2018 Oct 31;33(5):495-500. Epub 2018 Aug 31.

2Advisor,A.T. Still University,Mesa,ArizonaUSA.

Objective: This study evaluated how Tactical Emergency Casualty Care (TECC) training prepared law enforcement officers (LEOs) with the tools necessary to provide immediate, on-scene medical care to successfully stabilize victims of trauma.

Methods: This was a retrospective, de-identified study using a seven-item Fairfax County (Virginia USA) TECC After-Action Questionnaire and Arlington County (Virginia USA) police reports.

Results: Forty-six encounters were collected from 2015 through 2016. Read More

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https://www.cambridge.org/core/product/identifier/S1049023X1
Publisher Site
http://dx.doi.org/10.1017/S1049023X18000730DOI Listing
October 2018
19 Reads