Biomedical subjects

S Abuabara

Publications and source records attributed to S Abuabara.

3 recordsLinked to original sources

PubMed1983

Splenic preservation in adults after blunt and penetrating trauma.

This study was carried out to evaluate the possibility and safety of splenic preservation in adults subjected to both blunt and penetrating. In an 18 month period there were a total of 36 splenic injuries studied (in 36 patients): 18 due to blunt trauma, 11 due to gunshot wounds, and 7 due to stab wounds. A total of 18 spleens were repaired: 8 (45 percent) in the blunt trauma group, 4 (36 percent) in the gunshot group, and 6 (85 percent) in the stab wound group. There were no deaths in the entire group nor were there any complications associated with splenic salvage. Splenic preservation after both blunt and penetrating trauma is both safe and feasible in the adult population, except in those instances specified herein.

Adolescent↗

PubMed1982

A bullet in the appendix.

An unusual case of a foreign body lodged in the appendix after traumatic intestinal penetration is described. Although rarely found, foreign bodies in the appendix may produce acute appendicitis and other complications which necessitate surgery. An appendectomy is recommended: 1) for all symptomatic patients; 2) in patients with pointed objects retained because such patients are at potential risk for perforation; or 3) in any patient with a foreign body in the appendix who is undergoing intra-abdominal surgery for other reasons.

Adult↗

PubMed1981

Endoscopic sclerotherapy in acute variceal hemorrhage.

Acute variceal hemorrhage in patients with alcoholic cirrhosis and poor liver function is associated with a high mortality. A nonoperative treatment, endoscopic sclerotherapy, was employed in 22 patients with cirrhosis and poor liver function who had 24 episodes of acute variceal hemorrhage over a 20 month period. Portal hypertension was secondary to alcoholic cirrhosis in 21 patients and cystic fibrosis in 1 patient. Of the 24 patient admissions, 21 were of patients in Child's class C and 3 were class B. Endoscopic sclerotherapy was performed under endotracheal general anesthesia using a modified Negus rigid esophagoscope. The sclerosant (5 percent sodium morrhuate) was injected into all visible varices near the gastroesophageal junction using a MacBeth needle. Definitive control of variceal hemorrhage for the entire hospitalization was achieved in 19 of 24 admissions (79 percent). The in-hospital mortality for acute variceal bleeding was 29 percent; 81 percent of the patients were discharged after control of hemorrhage. There were two major and five minor complications related to sclerotherapy. Based on this preliminary experience it is concluded that injection sclerotherapy controls bleeding and reduces mortality associated with acute variceal hemorrhage in patients with poor liver function.

Adult↗