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Hollow viscus injury

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https://www.readbyqxmd.com/read/30478685/morbid-obesity-s-silver-lining-an-armor-for-hollow-viscus-in-blunt-abdominal-trauma
#1
Chih-Yuan Fu, Francesco Bajani, Caroline Butler, Stanley Welsh, Thomas Messer, Matthew Kaminsky, Frederick Starr, Andrew Dennis, Victoria Schlanser, Justin Mis, Stathis Poulakidas, Faran Bokhari
BACKGROUND: Morbid obesity is usually accompanied by both subcutaneous and visceral fat accumulation. Fat can mimic an air bag, absorbing the force of a collision. We hypothesized that morbid obesity is mechanically protective for hollow viscus organs in blunt abdominal trauma (BAT). METHODS: The National Trauma Data Bank (NTDB) was queried for BAT patients from 2013 to 2015. We looked at the rate of gastrointestinal (GI) tract injuries in all BAT patients with different BMIs...
November 26, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30268513/difference-in-severity-and-distribution-of-bodily-injuries-following-collision-between-drivers-of-k-cars-and-standard-vehicles
#2
Joji Inamasu, Dai Kujirai, Yoshimitsu Izawa, Kenichi Kase, Hiroharu Shinozaki
BACKGROUND: Although K-cars, small four-wheeled vehicles with an engine capacity of <660 cc, have been used almost exclusively in Japan, they have recently become increasingly popular in other countries. Therefore, reporting the characteristics of bodily injuries sustained by K-car drivers after road traffic accidents (RTAs) may be important not only for health professionals but also for car manufacturers. METHODS: A single-center, retrospective observational study was conducted using prospectively acquired data...
September 20, 2018: Injury
https://www.readbyqxmd.com/read/29907210/nonoperative-management-of-penetrating-abdominal-solid-organ-injuries-in-children
#3
Reid Sakamoto, Kazuhide Matsushima, Amory de Roulet, Kristine Beetham, Aaron Strumwasser, Damon Clark, Kenji Inaba, Demetrios Demetriades
BACKGROUND: Nonoperative management (NOM) of penetrating solid organ injuries (SOI) has not been well described in the pediatric population. The objective of this study was to characterize the epidemiology, injury patterns, and factors associated with trial and failure of NOM. METHODS: This is a retrospective cohort analysis of the National Trauma Data Bank for the period of 2007-2014. The study population included patients ≤18 y with penetrating injury to the liver, spleen, or kidney...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29666715/identification-of-hollow-viscus-injury-with-fast-examination-in-kurdistan-iraq
#4
Ruj Al-Sindy, Heleen Alaqrawy, Mahmood Sh Hafdullah, Christine Butts
Point-of-care ultrasound has become indispensable in the evaluation of trauma, particularly in low resource areas, where it may be the only rapidly available imaging modality. The FAST (Focused Assessment with Sonography in Trauma) in particular can be lifesaving, by rapidly detecting signs of intra-abdominal hemorrhage. However, the FAST is primarily designed to identify free fluid associated with solid organ injury and is thought to have less sensitivity and power in identifying evidence of hollow viscus injury...
2018: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/29644265/gastric-perforation-following-blunt-abdominal-trauma
#5
M R Aboobakar, J P Singh, K Maharaj, S Mewa Kinoo, B Singh
Gastric perforations following blunt abdominal trauma are rare, accounting for < 2% of all blunt abdominal injuries. Isolated blunt gastric ruptures are uncommon. They are usually associated with other solid visceral injuries. Injuries to the stomach are associated with the highest mortality of all hollow viscus injuries. Severity of the injury, timing of presentation and presentation following the last meal as well as concomitant injuries are important prognostic factors. Imaging modalities may be unreliable in making a diagnosis and thus clinical vigilance is mandatory...
August 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29559069/retroperitoneal-necrotizing-soft-tissue-infection-presenting-as-a-concern-for-missed-hollow-viscus-injury
#6
James G Malcolm, Elizabeth D Fox, Christopher J Dente, Dipan C Patel
No abstract text is available yet for this article.
March 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29546406/characteristics-of-combat-associated-small-bowel-injuries
#7
Mariya E Skube, Quinn Mallery, Elizabeth Lusczek, Joel Elterman, Mary A Spott, Greg J Beilman
Introduction: Although there are multiple studies regarding the management and outcomes of colonic injuries incurred in combat, the literature is limited with regard to small bowel injuries. This study seeks to provide the largest reported review of the characteristics of combat-associated small bowel injuries. Materials and Methods: The Department of Defense Trauma Registry was queried for U.S. Armed Forces members who sustained hollow viscus injuries in the years 2007-2012 during Operations Enduring Freedom, Iraqi Freedom, and New Dawn...
March 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29379402/colon-trauma-evidence-based-practices
#8
REVIEW
Ryo Yamamoto, Alicia J Logue, Mark T Muir
Colon injury is not uncommon and occurs in about a half of patients with penetrating hollow viscus injuries. Despite major advances in the operative management of penetrating colon wounds, there remains discussion regarding the appropriate treatment of destructive colon injuries, with a significant amount of scientific evidence supporting segmental resection with primary anastomosis in most patients without comorbidities or large transfusion requirement. Although literature is sparse concerning the management of blunt colon injuries, some studies have shown operative decision based on an algorithm originally defined for penetrating wounds should be considered in blunt colon injuries...
January 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29368085/selective-nonoperative-management-of-liver-gunshot-injuries
#9
Pradeep Navsaria, Andrew Nicol, Jake Krige, Sorin Edu, Sharfuddin Chowdhury
PURPOSE: Nonoperative management (NOM) of gunshot liver injuries (GLI) is infrequently practiced. The aim of this study was to assess the safety of selective NOM of GLI. METHODS: A prospective, protocol-driven study, which included patients with GLI admitted to a level 1 trauma center, was conducted over a 52-month period. Stable patients without peritonism or sustained hypotension with right-sided thoracoabdominal (RTA) and right upper quadrant (RUQ), penetrating wounds with or without localized RUQ tenderness, underwent contrasted abdominal CT scan to determine the trajectory and organ injury...
January 24, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29350370/operative-and-non-operative-management-of-children-with-abdominal-gunshot-injuries
#10
Mehmet Şerif Arslan, Hikmet Zeytun, Serkan Arslan, Erol Basuguy, Mehmet Hanifi Okur, Bahattin Aydoğdu, Cemil Göya, İbrahim Uygun, Selçuk Otçu
BACKGROUND: Non-operative management (NOM) is a standard treatment method for solid organ injuries worldwide. There is no consensus on the management of gunshot wounds (GSW) because of the higher frequency of hollow viscus injuries (HVI) and the unpredictable depth of tissue damage produced by kinetic energy transfer during retardation of the bullet. Here we aimed to reevaluate indications for surgery and NOM based on our pediatric patients with abdominal GSW. METHODS: We performed a retrospective analysis of patients evaluated and treated for abdominal GSW at University of Dicle between January 2010 and October 2016...
January 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29302699/clinical-outcomes-and-effect-of-delayed-intervention-in-patients-with-hollow-viscus-injury-due-to-blunt-abdominal-trauma-a-systematic-review
#11
REVIEW
Christopher Harmston, James Benjamin Marsden Ward, Abhilasha Patel
INTRODUCTION: Hollow viscus injury (HVI) due to blunt abdominal trauma remains a diagnostic challenge, often presenting late and results in delayed intervention. Despite several treatment algorithms, there is currently no consensus on how to manage patients with HVI. The aim of this review was to define clinical outcomes and the effect of delayed intervention in patients with HVI due to blunt abdominal trauma. The primary outcome of interest was difference in mortality between groups...
June 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29191669/incidence-and-factors-associated-with-development-of-heterotopic-ossification-after-damage-control-laparotomy
#12
Yifan Wang, Agatha Stanek, Jeremy Grushka, Paola Fata, Andrew Beckett, Kosar Khwaja, Tarek Razek, Dan L Deckelbaum
INTRODUCTION: The incidence of heterotopic ossification (HO) following damage control laparotomy (DCL) is unknown. Abdominal wall reconstruction may prove more challenging in patients with HO. This study examines the incidence and factors associated with HO in patients with an open abdomen following DCL. METHODS: A retrospective review of all patients with an open abdomen after DCL at a level 1 trauma centre from 2009 to 2015 was conducted. Demographics and peri-operative outcomes of patients with and without HO were compared...
January 2018: Injury
https://www.readbyqxmd.com/read/28958360/surgical-management-of-abdominal-trauma-hollow-viscus-injury
#13
REVIEW
Jamie J Coleman, Ben L Zarzaur
Hollow viscus injury is common with penetrating trauma to the torso and infrequent with a blunt traumatic mechanism of injury. The diagnosis in hemodynamically unstable patients is often made in the operating room. In hemodynamically stable patients, the diagnosis can be difficult due to additional injuries. Although computed tomography remains the diagnostic tool of choice in hemodynamically stable patients, it has lower reported sensitivity and specificity with hollow viscus injury. However, even short delays in diagnosis increase morbidity and mortality significantly...
October 2017: Surgical Clinics of North America
https://www.readbyqxmd.com/read/28883735/hollow-viscus-injuries-predictors-of-outcome-and-role-of-diagnostic-delay
#14
Andrea Mingoli, Marco La Torre, Gioia Brachini, Gianluca Costa, Genoveffa Balducci, Barbara Frezza, Giovanna Sgarzini, Bruno Cirillo
INTRODUCTION: Hollow viscus injuries (HVIs) are uncommon but potentially catastrophic conditions with high mortality and morbidity rates. The aim of this study was to analyze our 16-year experience with patients undergoing surgery for blunt or penetrating bowel trauma to identify prognostic factors with particular attention to the influence of diagnostic delay on outcome. METHODS: From our multicenter trauma registry, we selected 169 consecutive patients with an HVI, enrolled from 2000 to 2016...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/28876673/outcomes-of-failure-of-selective-nonoperative-management-of-penetrating-abdominal-trauma-hrec-ref-679-2013
#15
P H Navsaria, A J Nicol, S Edu, H Joosten, N Almgla, S Sobnach, D McPherson, A Al-Sayari
BACKGROUND: Selective nonoperative management (NOM) of penetrating abdominal trauma is routinely managed in our trauma center. METHOD: All patients for the period 01 May 2015-15 June 2016 who presented with a penetrating abdominal injury were prospectively entered into an ethics approved database, Ethrapp, and retrospectively reviewed. The patients were categorised into 3 groups: immediate laparotomy, successful NOM and failed NOM. Outcomes included: postoperative complications, mortality and length of hospital stay...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28690974/laparoscopy-in-blunt-abdominal-trauma-for-whom-when-and-why
#16
REVIEW
Viktor Justin, Abe Fingerhut, Selman Uranues
The management of blunt abdominal trauma has evolved over time. While laparotomy is the standard of care in hemodynamically unstable patients, stable patients are usually treated by non-operative management (NOM), incorporating adjuncts such as interventional radiology. However, although NOM has shown good results in solid organ injuries, other lesions, namely those involving the hollow viscus, diaphragm, and mesentery, do not qualify for this approach and need surgical exploration. Laparoscopy can substantially reduce additional surgical aggression...
2017: Current Trauma Reports
https://www.readbyqxmd.com/read/28673696/appendicitis-following-blunt-abdominal-trauma
#17
Travis Cobb
Appendicitis is a frequently encountered surgical problem in the Emergency Department (ED). Appendicitis typically results from obstruction of the appendiceal lumen, although trauma has been reported as an infrequent cause of acute appendicitis. Intestinal injury and hollow viscus injury following blunt abdominal trauma are well reported in the literature but traumatic appendicitis is much less common. The pathophysiology is uncertain but likely results from several mechanisms, either in isolation or combination...
September 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28529193/laparoscopy-has-a-therapeutic-role-in-the-management-of-abdominal-trauma-a-matched-pair-analysis
#18
Saurav Chakravartty, Diwakar R Sarma, Muhammad Noor, Spyros Panagiotopoulos, Ameet G Patel
INTRODUCTION: Laparoscopy is increasingly utilised as a diagnostic tool in management of abdominal trauma; however its role in therapeutic intervention remains unexplored. The aim of this study is to compare laparoscopy with laparotomy in the treatment of abdominal trauma in haemodynamically stable patients. METHODS: A review of patients undergoing surgery for abdominal trauma between January 2004-2014 identified 25 patients who underwent laparoscopy for therapeutic intervention (TL)...
August 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28474610/blunt-rectal-trauma-case-report-and-literature-review
#19
REVIEW
Michele Marini, Giorgio Fratus, Pierluigi D'Amore, Fabio Tagliabue, Pierpaolo Mariani, Luisella Spinelli, Lorenzo Novellino
Blunt colorectal traumas are rare clinical entities with a challenging diagnostic and operative management. We describe the case of a 40-year-old man, victim of an accidental fall from a height of four meters who was subsequently diagnosed to have a blunt rectal trauma. A first CT scan showed fracture of the skull and an extensive subcutaneous haematoma of the lower back associated with a fracture of the left transverse processes of lumbar vertebrae. No other visceral abdominal lesions were recognized and patient was admitted to our department for observational studies...
December 20, 2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28351473/accuracy-of-clinical-laboratory-and-computed-tomography-findings-for-identifying-hollow-viscus-injury-in-blunt-trauma-patients-with-unexplained-intraperitoneal-free-fluid-without-solid-organ-injury
#20
Evan Jost, Derek J Roberts, Todd Penney, Grant Brunet, Chad G Ball, Andrew W Kirkpatrick
BACKGROUND: We sought to define the accuracy of findings for detecting hollow viscus injury (HVI) in patients with blunt abdominal trauma (BAT) and unexplained intra-peritoneal free fluid without solid organ injury (UIPFFWSOI). METHODS: We screened all consecutive hemodynamically stable patients presenting to a quaternary-care trauma-centre who had an abdominal computed tomography (CT) scan for BAT and UIPFFWSOI (January 2007-December 2014). RESULTS: Of 3796 patients identified during the study period, 39 presented with UIPFFWSOI...
May 2017: American Journal of Surgery
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