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Biomedical subjects

D P Horan

Publications and source records attributed to D P Horan.

6 recordsLinked to original sources
PubMed1984

Traumatic esophageal injuries: 12-year experience at Henry Ford Hospital.

We reviewed our 12 years' experience and the literature on traumatic and nontraumatic esophageal injuries. A total of 28 patients were diagnosed and managed at Henry Ford Hospital. Cervical esophageal injuries should be explored surgically as soon as possible but, in our experience, a negative contrast swallow has not been reliable. In thoracic esophageal injuries, however, we rely more on contrast swallow to avoid routine exploratory thoracotomy and its morbidity. Abdominal esophageal injuries are readily identifiable during exploratory laparotomy performed for other abdominal injuries. Early diagnosis and treatment are the key to a successful outcome.

Adolescent↗
PubMed1983

The importance of the WBC count in peritoneal lavage.

A subset of ten consecutive patients who had sustained penetrating and blunt abdominal trauma came to the hospital with stable vital signs. None had any clinical evidence of intraperitoneal injury. All patients underwent peritoneal lavage, and surgical exploration was performed on the basis of a 100,000/cu mm in the effluent. Substantial intraperitoneal injury was found in nine of ten patients. We suggest that as a further refinement of peritoneal lavage, in addition to RBC count, the WBC count be measured in the effluent fluid and if it is found to be greater than 500/cu mm, surgical exploration be carried out.

Abdominal Injuries↗
PubMed1983

Penetrating injuries of the heart.

The results of our 11 year retrospective study showed that, contrary to the opinion of Billroth, as proved by Williams and Von Rehn, cardiac wounds are definitely treatable, and when these patients are given early aggressive and definitive surgical care, the great majority of them should survive. Aggressive treatment, however, should not be taken to mean over resuscitation with fluids but instead means early diagnosis, relief of tamponade and definitive surgical repair.

Adult↗
PubMed1983

Delayed splenic rupture: the phoenix.

An emergency splenectomy was necessary 25 days after blunt injury of a patient whose initial peritoneal lavage was negative, whose visceral angiograms were negative, and whose abdomen remained asymptomatic during interval intensive observations. Delayed splenic rupture can occur rarely in the face of extensive diagnostic evaluation.

Humans↗