Biomedical subjects

B E Barden

Publications and source records attributed to B E Barden.

3 recordsLinked to original sources

PubMed2001

Multiple penetrating injuries to the heart diagnosed with ultrasonography.

Penetrating heart injury poses significant diagnostic and therapeutic challenges. Patients may initially appear in extremis or in stable condition. Surgeon-performed ultrasonography is effective in determining the presence or absence of tamponade. Definitive repair requires cardiorrhaphy, using a median sternotomy or thoracotomy incision, depending on the suspected injury site(s). Frequent postoperative complications can usually be managed without reoperation. Echocardiography, electrocardiography, and cardiac catheterization may be used postoperatively in reassessment. A patient with stab wounds to both ventricles of the heart is described.

Adult↗

PubMed2000

Perforation of the colon after blunt trauma.

Blunt rupture of the colon follows a direct blow to the abdomen. Physical findings suggesting peritoneal irritation are usually present early in the postinjury period and lead to further evaluation and operation. In unresponsive patients, physical findings may be masked, diagnosis delayed, and outcome compromised. Perioperative antibiotics and early celiotomy with complete intra-abdominal exploration and primary repair of the colon injury usually provide excellent results.

Abdominal Injuries↗

PubMed2000

Traumatic lumbar hernia.

Lumbar hernias occur infrequently; however, after trauma, they can present challenging problems in management. Unlike congenital or primary acquired lumbar hernias, posttraumatic lumbar hernias result from a disruption in normal anatomic boundaries and may require extensive reconstruction. We describe a case of lumbar hernia in a patient who had been crushed between two train cars, review the anatomy of the lumbar region, and identify treatment options.

Abdominal Muscles↗