3,645 results match your criteria Abdominal Trauma Penetrating

Management of pancreatic trauma in urban India: A multicenter study.

Ann Med Surg (Lond) 2022 Jun 13;78:103564. Epub 2022 Apr 13.

Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Background: Pancreatic trauma occurs in 0.2-2% of patients with blunt trauma and 1-12% of patients with penetrating trauma. The mortality and morbidity rates range from 9 to 34% and 30-60% respectively. Read More

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Laparoscopic Versus Laparotomy Surgical Interventions for Trauma Patients with Single Upper Left Quadrant Penetrating Injuries: Analysis of the American College of Surgeons Trauma Quality Improvement Program Dataset.

Am Surg 2022 May 19:31348221101510. Epub 2022 May 19.

Department of Surgery, Division of Trauma and Surgical Critical Care, 23703Ocala Regional Medical Center, Ocala, FL, USA.

Background: We aim to identify patient cohorts where laparoscopy can be safely utilized with comparable or better outcomes to laparotomy among patients with single penetrating LUQ injuries with a hypothesis that compared to laparotomy, laparoscopy may be associated with equal or improved outcomes of low injury severity patients.

Methods: Retrospective review of the ACS-TQP-Participant Use File 2016-2019 dataset. Patients with single LUQ penetrating injuries were included. Read More

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Talk and Die: A Descriptive Analysis of Penetrating Trauma Patients.

J Surg Res 2022 May 16;278:1-6. Epub 2022 May 16.

Temple University Hospital, Philadelphia, Pennsylvania.

Introduction: "Talk and die" traditionally described occult presentations of fatal intracranial injuries, but we broaden its definition to victims of penetrating trauma.

Methods: We conducted a descriptive analysis of patients with penetrating torso trauma who presented with a Glasgow Coma Scale verbal score ≥3 and died within 48 h of arrival from 2008 to 2018.

Results: Sixty patients were identified. Read More

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Management of an abdominal penetration injury due to a car accident.

Trauma Case Rep 2022 Jun 29;39:100646. Epub 2022 Apr 29.

Department of General, Visceral and Vascular Surgery, Bergmannstrost, BG Klinikum Halle (Saale), Germany.

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Traumatic inguinal hernia after fall from truck on a broom.

Trauma Case Rep 2022 Jun 26;39:100617. Epub 2022 Jan 26.

Franciscus Hospital, Department of General Surgery, Kleiweg 500, 3045 PM Rotterdam, the Netherlands.

Background: Inguinal hernias are among the most common abdominal wall hernias but rarely caused by penetrating trauma.

Case Presentation: We report a case of a 61-year-old patient with a traumatic inguinal hernia after penetrating injury through the inguinal canal. Local inspection of the intestines and abdominal cavity showed no fecal spill, blood clots or signs of contamination. Read More

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An Unusual Case of Isolated Pancreatitis Secondary to Blunt Abdominal Trauma.

Cureus 2022 Mar 31;14(3):e23717. Epub 2022 Mar 31.

Gastroenterology, University of Houston / HCA Healthcare Kingwood, Houston, USA.

Acute pancreatitis is an inflammatory condition affecting a large population and resulting in one of the most common causes of gastrointestinal hospitalizations in the United States. The pathogenesis resulting in pancreatic injury has multiple etiologies with gallstones and alcohol consumption contributing to a large majority of cases. Consequently, one uncommon cause of acute pancreatitis, direct abdominal trauma, often gets overlooked. Read More

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Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature.

Chin J Traumatol 2022 Apr 13. Epub 2022 Apr 13.

Haepato-Biliary-Pancreatic Unit, Hammersmith Hospital. Imperial College, London, W120TS, UK.

Purpose: Liver is the most frequently injured organ in abdominal trauma. Today non-operative management (NOM) is considered as the standard of care in hemodynamically stable patients, with or without the adjunct of angioembolisation (AE). This systematic review assesses the incidence of complications in patients who sustained liver injuries and were treated with simple clinical observation. Read More

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The impact of obesity on Singaporean trauma patients and their venous thromboembolism risk.

ANZ J Surg 2022 Apr 12. Epub 2022 Apr 12.

Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.

Background: The impact of obesity on trauma outcomes had been equivocal and the majority of these studies were conducted in the Western population. The aim of our study is to evaluate the impact of obesity on morbidity and mortality in Singaporean patients after trauma.

Methods: A retrospective case control study of trauma patients admitted to a tertiary institution was performed. Read More

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Quality Indicators Targeting Low-Value Clinical Practices in Trauma Care.

JAMA Surg 2022 Apr 27. Epub 2022 Apr 27.

Departments of Critical Care Medicine, Medicine and Community Health Sciences, O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada.

Importance: The use of quality indicators has been shown to improve injury care processes and outcomes. However, trauma quality indicators proposed to date exclusively target the underuse of recommended practices. Initiatives such as Choosing Wisely publish lists of practices to be questioned, but few apply to trauma care, and most have not successfully been translated to quality indicators. Read More

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Focused Assessment with Sonography in Trauma (FAST) performance in paediatric conflict injury.

Clin Radiol 2022 Apr 23. Epub 2022 Apr 23.

Centre for Blast Injury Studies, Imperial College London, London, UK; Centre for Defence Radiology, HMS Nelson, Portsmouth, Hampshire, UK.

Aim: To evaluate the efficacy of Focused Assessment with Sonography in Trauma (FAST) in a paediatric population with a substantial proportion of penetrating abdominal injuries.

Materials And Methods: FAST and computed tomography (CT) abdomen findings were compared for 98 children who presented to Camp Bastion during the war in Afghanistan in 2011. FAST performance was compared to the reference standard of free fluid detected on CT. Read More

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Resuscitative Endovascular Balloon Occlusion of the Aorta in Penetrating Trauma.

J Am Coll Surg 2022 May;234(5):872-880

From the Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, CA (Schellenberg, Owattanapanich, Magee, Inaba).

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) achieves temporary hemorrhage control via aortic occlusion. Existing REBOA literature focuses on blunt trauma without a clearly defined role in penetrating trauma. This study compared clinical/injury data and outcomes after REBOA in penetrating vs blunt trauma. Read More

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Surgical management of traumatic diaphragmatic rupture: ten-year experience in a Teaching Hospital in Ghana.

Kardiochir Torakochirurgia Pol 2022 Mar 24;19(1):28-35. Epub 2022 Mar 24.

Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Introduction: Diaphragmatic injuries may be associated with thoracoabdominal blunt or penetrating traumas. The diagnosis is often delayed, despite the availability of several medical imaging modalities. The surgical management remains controversial, in terms of the choice of surgical approach and the surgical repair technique. Read More

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Penetrating colon trauma - outcomes related to single versus multiple colonic suture injuries.

Eur J Trauma Emerg Surg 2022 Apr 9. Epub 2022 Apr 9.

Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

Introduction: There is no conclusive evidence to guide surgical management in the presence of multiple colonic injuries as opposed to a single colonic injury, and whether multiple colonic suture lines are associated with worse outcomes than single suture lines.

Aim: We reviewed the outcomes of penetrating colonic trauma in relation to whether patients had single versus multiple colonic suture lines (primary repair or anastomosis) following laparotomy.

Methods: A retrospective study was conducted at a major trauma centre in South Africa from (2012-2020) for all patients over 18 years who had sustained penetrating colon injury. Read More

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Inferior Vena Cava Ligation and Pancreaticoduodenectomy in a Patient With Penetrating Abdominal Trauma.

Am Surg 2022 Apr 7:31348221083941. Epub 2022 Apr 7.

Department of Surgery, 3463University of Florida, Gainesville, FL, USA.

Introduction: Injury to the inferior vena cava (IVC) is often fatal. Pancreaticoduodenectomy for trauma is also rare. This case describes a patient who underwent both procedures. Read More

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Laparoscopy vs. Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis.

Front Surg 2022 8;9:817134. Epub 2022 Mar 8.

Department of Emergency, Taihe People's Hospital, Fuyang, China.

Background: There is still no consensus regarding the role of laparoscopy in trauma cases. The purpose of this paper is to assess the value of diagnostic and therapeutic laparoscopy for patients with blunt or penetrating abdominal trauma by performing a systematic review and meta-analysis.

Methods: PubMed, Embase, and the Cochrane library were systemically searched for the randomized controlled trials (RCTs) and non-RCT comparative studies on effectiveness and safety of laparoscopy vs. Read More

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Port J Card Thorac Vasc Surg 2021 Nov 7;28(3):47-49. Epub 2021 Nov 7.

Angiology and vascular surgery, Santiago Compostela Clinical Hospital, Galicia, Spain.

Introduction: Gluteal pseudoaneurysms are extremely rare and respond to pelvic trauma, penetrating wounds, inflammation or infection in the gluteal region.

Clinical Cases: Two men, 73 and 82 years respectively, who presented gluteal pseudoanerysm after drainage of perianal abscess the first one and after trauma the second one. In both cases the diagnosis was made by imaging tests (doppler ultrasound that was completed with computed tomographic angiography). Read More

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November 2021

Validation of the American Association for the Surgery of Trauma Organ Injury Scale for Penetrating Colon Injuries.

Am Surg 2022 Mar 25:31348221084086. Epub 2022 Mar 25.

Shock Trauma Center, 137889University of Maryland School of Medicine, Baltimore, MD, USA.

In 2020, the American Association for the Surgery of Trauma (AAST) published a revision of the organ injury scale (OIS) for bowel injuries. The update included for the first time a separate OIS for penetrating colon injuries as well as imaging criteria. To validate the new OIS and its correlation with outcomes, we performed a retrospective review of patients with penetrating colon injuries (AIS<3 in other body regions) between 2016 and 2020 at a single institution. Read More

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Diagnostic performance of triple-contrast versus single-contrast multi-detector computed tomography for the evaluation of penetrating bowel injury.

Emerg Radiol 2022 Jun 23;29(3):519-529. Epub 2022 Mar 23.

Department of Radiology, University of Miami-Miller School of Medicine and Jackson Memorial Hospital, 1611 NW 12th Ave, West Wing 279, Miami, FL, 33136, USA.

Purpose: Selecting groups of low-risk penetrating trauma patients to forego laparotomy can be challenging. The presence of bowel injury may prevent non-operative management. Optimal CT technique to detect bowel injury related to penetrating injury is controversial. Read More

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WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment.

World J Emerg Surg 2022 03 4;17(1):13. Epub 2022 Mar 4.

John Hunter Hospital, University of Newcastle, Newcastle, NSW, Australia.

The aim of this paper was to review the recent literature to create recommendations for the day-to-day diagnosis and surgical management of small bowel and colon injuries. Where knowledge gaps were identified, expert consensus was pursued during the 8th International Congress of the World Society of Emergency Surgery Annual (September 2021, Edinburgh). This process also aimed to guide future research. Read More

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Antibiotic Prophylaxis in Torso, Maxillofacial, and Skin Traumatic Lesions: A Systematic Review of Recent Evidence.

Antibiotics (Basel) 2022 Jan 21;11(2). Epub 2022 Jan 21.

General, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.

Use of antibiotic prophylaxis (AP) in trauma patients is a common practice. However, considering the increasing rates of antibiotic resistance, AP use should be questioned and limited only to specific cases. We performed a systematic review of recent literature (from year 2000), aiming to summarize the state of the art on efficacy and appropriateness of AP in patients with traumatic injuries of torso, maxillofacial complex and skin (including burns). Read More

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January 2022

Comparing diagnostic findings and cost of whole body computed tomography to traditional diagnostic imaging in polytrauma patients.

J Vet Emerg Crit Care (San Antonio) 2022 May 24;32(3):334-340. Epub 2022 Feb 24.

Department of Emergency and Critical Care, The Animal Medical Center, New York, New York, USA.

Objective: To compare the diagnostic utility of traditional diagnostic tests (ie, radiographs and focused assessment using sonography for trauma [FAST] scans) to whole-body computed tomography (WBCT) for characterizing injuries in polytrauma patients. A secondary objective was to compare costs of traditional diagnostic tests to WBCT.

Design: Prospective, observational study. Read More

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Abdominal stab wounds with retained knife: 15 years of experience from a major trauma centre in South Africa.

Ann R Coll Surg Engl 2022 Feb 17. Epub 2022 Feb 17.

University of the Witwatersrand, Johannesburg, South Africa.

Introduction: This study reviews our cumulative experience with the management of patients presenting with a retained knife following an abdominal stab wound (SW).

Methods: A retrospective study was conducted at a major trauma centre in South Africa over a 15-year period from July 2006 to December 2020 including all patients who presented with a retained knife in the abdomen following a SW.

Results: A total of 42 cases were included: 37 males (93%) with a mean age of 26 years. Read More

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February 2022

Delayed presentation of a post-traumatic large right diaphragmatic hernia displacing liver and gallbladder - A case report.

Asian J Endosc Surg 2022 Apr 7;15(2):388-392. Epub 2022 Feb 7.

Department of Minimal Access GI Surgery, Apollo Hospitals, Chennai, India.

Blunt or penetrating trauma resulting in injury or rupture of the diaphragm is rare and constitutes about 1% to 3.9% of all thoraco-abdominal injuries. It is often regarded as a marker of severe trauma. Read More

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Relationship between the anatomical location and the selective non-operative management of penetrating stab wounds in the abdomen.

Cir Esp (Engl Ed) 2022 Feb 2;100(2):67-73. Epub 2022 Feb 2.

Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Introduction: The relationship between the anatomical location of penetrating abdominal stab wounds (SW) and the rate of selective non-operative management (SNOM) based on that location is scarcely reflected in the specialized literature. Our main objective has been to assess this rate based on the anatomical location, and our results.

Methods: Retrospective review of a prospective registry of abdominal trauma from April 1993 to June 2020. Read More

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February 2022

Management of Complex Transmediastinal Stab Wound With Cardiac, Esophageal, and Arterial Injury.

Am Surg 2022 May 4;88(5):1028-1030. Epub 2022 Feb 4.

Division of Surgery, 12286Rutgers University New Jersey Medical School, Newark, NJ, USA.

Penetrating transmediastinal traumatic injuries often carry a high mortality given the vital structures this type of injury often involves. Here, we describe a case of 24-year-old man who suffered multiple stab wounds to the chest and back with associated cardiac, esophageal, and arterial injury, requiring immediate operative intervention. He underwent sternotomy and left thoracotomy with pericardiotomy, repair of 2 right ventricular lacerations, and ligation of internal mammary artery. Read More

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Surgical management of intrathoracic wooden skewers migrating from the stomach and duodenum in dogs: 11 cases (2014-2020).

J Small Anim Pract 2022 May 26;63(5):403-411. Epub 2022 Jan 26.

North Downs Specialist Referrals, Bletchingley, RH1 4QP, UK.

Objectives: To describe the clinical presentation, management and outcome of cases presenting with intrathoracic wooden skewers originating from the abdominal gastrointestinal tract.

Materials And Methods: Clinical records of dogs presented and treated for an intrathoracic wooden skewer were reviewed from June to August 2020. Data included signalment, clinical presentation, duration of clinical signs, haematological and biochemical abnormalities, diagnostic imaging findings, surgical procedure, postoperative complications and outcome. Read More

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Destructive colon injuries requiring resection: Is colostomy ever indicated?

J Trauma Acute Care Surg 2022 Jun 25;92(6):1039-1046. Epub 2022 Jan 25.

From the Division of Acute Care Surgery (D.P.M., M.R.L., M.D.W., D.D.), LAC+USC Medical Center, University of Southern California, Edmonton, Alberta, Canada; Trauma Surgery and General Surgery (M.S.), Royal Alexandra Hospital, Edmonton, Alberta, Canada; and Grady Memorial Hospital (E.R.B.), Emory University, Atlanta, Georgia.

Background: The management of destructive colon injuries requiring resection has shifted from mandatory diverting stoma to liberal use of primary anastomosis. Various risk criteria have been suggested for the selection of patients for primary anastomosis or ostomy. At our center, we have been practicing a policy of liberal primary anastomosis irrespective of risk factors. Read More

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External validation of a pediatric decision rule for blunt abdominal trauma.

J Am Coll Emerg Physicians Open 2022 Feb 15;3(1):e12623. Epub 2022 Jan 15.

Department of Emergency Medicine Reading Hospital West Reading Pennsylvania USA.

Introduction: Blunt traumatic injuries are a leading cause of morbidity and mortality in the pediatric population. Contrast-enhanced multidetector computed tomography is the best imaging tool for screening patients at risk of blunt abdominal injury. The Pediatric Emergency Care Applied Research Network (PECARN) abdominal rule was derived to identify patients at low risk for significant abdominal injury who do not require imaging. Read More

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February 2022

Advanced Bleeding Control in combat casualty care: an international, expert-based Delphi consensus.

J Trauma Acute Care Surg 2022 Jan 21. Epub 2022 Jan 21.

Department of Surgery, Alrijne Hospital, Leiderdorp, the Netherlands Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA Naval Medical Research Unit San Antonio, JBSA-Ft. Sam Houston, Texas, USA San Antonio Military Medical Center, JBSA-Ft. Sam Houston, Texas, USA Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, Örebro, Sweden Department of Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, Örebro, Sweden Defense Healthcare Organization, Ministry of Defense, Utrecht, the Netherlands Department of Surgery, Leiden University Medical Centre, Leiden, the Netherlands.

Background: Hemorrhage from truncal and junctional injuries is responsible for the vast majority of potentially survivable deaths in combat casualties, causing most of its fatalities in the prehospital arena. Optimizing the deployment of the advanced bleeding control modalities required for the management of these injuries is essential to improve the survival of severely injured casualties. This study aimed to establish consensus on the optimal use and implementation of advanced bleeding control modalities in combat casualty care. Read More

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January 2022