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At least 919 records · Page 51Linked to original sources
PubMed1995

[Perforation of hollow viscera in abdominal injuries].

OBJECTIVE: This is a retrospective study to evaluate our results in the treatment of abdominal trauma. DESIGN: We have analysed the incidence, the clinical characteristics, the diagnosis, the indications for laparotomy, the therapeutic methods and the morbidity-mortality. During the last 14 years we have operated on 29 hollow viscus injuries. They were divided into two groups: Eleven with penetrating or open trauma and 18 with blunt or closed traumatism. RESULTS: In the cases of blunt trauma 36.8% of injuries were located in the proximal jejunum, 21% in the terminal ileum, 15% in the colon. In the cases of penetrating trauma, small intestinal perforation predominated (46.9%). In 23.5% of the cases the colon was affected. Morbidity in blunt trauma was 38.8% and 0% in penetrating trauma. The mortality in the two groups has been zero. CONCLUSIONS: The most common surgical procedure practised for injuries to the small intestine was simple suture, and for injuries to the colon, colostomy. The most usual surgical procedures in penetrating trauma were simple suture in all small intestine injuries and for colonic lesions half had primary closure and half suture plus colostomy.

Abdominal Injuries↗
PubMed1977

Abdominal injuries in automobile accidents: review of care of fatally injured patients.

Hypovolemia continues to be an important cause of death in patients who die as a result of vehicular trauma. Diagnosis and treatment of a series of 127 patients who died with blunt abdominal trauma from automobile accidents during 1969-1974 in Vermont are reported. The most frequent errors in the cases reviewed were failure to recognize and adequately treat hypovolemia, and to appreciate the urgent need for surgery. Death on the X-ray table while allowing persistence of hypovolemia was the common denominator in four of the five victims who died of ruptured spleens in the emergency departments, after having arrived alive following vehicular trauma. Forty-seven per cent of all reported deaths in automobile accidents had blunt abdominal trauma. Of those with blunt abdominal trauma who arrived alive, 26% might have survived with appropriate treatment which should have been available.

Abdominal Injuries↗
PubMed1999

Surgeon-performed ultrasound for the assessment of abdominal injuries.

The use of ultrasound for the investigation of urgent diagnostic dilemmas is by no means new. Although it has been widely used for almost 40 years, during the past two decades ultrasound has achieved a primary role in the investigation of emergent conditions, notably in the trauma setting. This is further underscored by the American College of Surgeons (ACS) training initiatives. In addition to the basic ultrasound course sponsored by the ACS at the Clinical Congress meetings, the ACS will offer a specialty module course, "Ultrasound in the Acute Setting," that covers ultrasound as used in trauma, critical care, and acute general surgical problems. This initiative underscores the surgeons' interest in having ultrasound as an integral part of their trauma practice. Having the ability to perform and interpret the ultrasound examination gives the surgeon the advantage of obtaining immediate information about the patient. Considering the pace of the trauma setting, ultrasound is an ideal modality for assessment of these patients. It should be the initial diagnostic test for the evaluation of patients with precordial wounds and blunt truncal injuries because it is rapid and accurate, and it augments the surgeon's diagnostic capabilities.

Abdominal Injuries↗
PubMed1989

[Surgical tactics in combined thoraco-abdominal injuries].

Differential surgical tactics is suggested on basis of experience in the treatment of 141 patients with thoracoabdominal and associated injuries to the chest and abdomen. The emergency of the operation is dictated by continued bleeding and the volume of blood lost into the serous cavity; this can be determined with certain precision by the method described in the article. In most cases with injury to the chest management may be limited to drainage of the pleural cavity. The anatomical structure of the injured abdominal organs and diaphragm is restored through an abdominal approach. Thoracodiaphragmatomy and thoracolaparotomy are indicated only in injuries on the right side with damage of parts of the liver the approach to which is difficult. When both cavities must be opened, the order of the operative stages is determined by the predominance of the clinical picture of the injuries to the organs and the hemorrhage into the thoracic or abdominal cavity. The mortality was 13.5%.

Abdominal Injuries↗
PubMed1991

Abdominal injuries in the war wounded of Afghanistan: a report from the International Committee of the Red Cross Hospital in Kabul.

This report is from the hospital opened by the International Committee of the Red Cross, in Kabul, which receives acute war-wounded patients from the Afghanistan conflict. Of more than 1000 operations carried out by the New Zealand team in a 6-month period, there were 70 laparotomies for penetrating wounds. These injuries were dealt with by established surgical techniques. The main area of controversy was the management of colonic wounds where the recent trend away from mandatory colostomy was followed by good results. Selective primary repair was achieved in 16 of 27 patients with colonic injury with no mortality and minimal morbidity. The right colon was considered particularly favourable for primary anastomosis. The overall mortality rate for all laparotomies was 13 per cent, with injuries to the liver, major veins and rectum particularly being fatal. There were eight negative laparotomies.

Abdominal Injuries↗
PubMed1979

Sepsis and upper gastrointestinal hemorrhage due to duodenal-caval fistula: complications of delayed treatment of a penetrating abdominal injury (case report).

Sepsis and upper gastrointestinal hemorrhage due to duodenal-caval fistula complicated delayed treatment of an abdominal gunshot wound. Gastric and duodenal decompression, external drainage of the duodenal repair, and caval ligation are preferred for delayed treatment of combined duodenal and infrarenal vena caval injuries.

Abdominal Injuries↗
PubMed1979

[Tactics of surgical care of closed abdominal injuries under conditions of defensive war].

The authors are analizing the mechanism of initiation, frequency, surgical characteristics, the way of treatment and the factors affecting the prognosis of close injuries of abdomen in peace and war conditions. The discussion is about the problems of uniform surgical war-doctrine (army sanitary service, public-health service) in conditions of general civil-war defence. Own experiences are presented in surgical treatment of 179 patients with close injuries of abdomen in 10-year research on the Regional Surgical Department of Banja Luka's Medical Center.

Abdominal Injuries↗
PubMed1991

[Emergency laparoscopy in closed abdominal injuries].

Results of emergency laparoscopies in 240 patients with closed traumas of the abdomen are presented. No injuries were found in 154 patients when performing laparoscopy. By the authors' data the diagnostic informative value of laparoscopy in closed traumas made up 98%. Wide use of laparoscopy allowed to avoid diagnostic laparotomy in doubtful clinical picture of closed abdominal traumas.

Abdominal Injuries↗