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Abdomen trauma

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https://www.readbyqxmd.com/read/30516261/distribution-characteristics-of-combat-related-shrapnel-and-relationship-to-weapon-type-and-conflict-location-experience-of-an-operational-field-hospital
#1
Sinan Akay, Mehmet Burak Aşık, Sami Eksert
BACKGROUND: The aim of this study was to investigate the characteristics of shrapnel distribution in the body and a possible relationship to the type of weapon and type of location of the conflict. METHODS: The records of 246 patients admitted to a level-III trauma center with any kind of firearm injury were examined retrospectively. Ninety patients who had at least 1 radiologically-proven piece of shrapnel in their body were included in the study. For the purposes of the study, the body was divided into 5 regions (head/neck, thorax/back, abdomen/pelvis/waist, upper extremities, and lower extremities) and shrapnel distribution was noted according to these divisions...
November 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30482184/spigelian-hernia-in-the-right-upper-abdominal-wall-a-case-report
#2
Zhou Ye, Mo-Jin Wang, Li-Fen Bai, Han-Xiang Zhuang, Wen Zhuang
BACKGROUND: Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen. CASE PRESENTATION: A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia...
November 27, 2018: BMC Surgery
https://www.readbyqxmd.com/read/30463760/disparities-in-radiation-burden-from-trauma-evaluation-at-pediatric-versus-nonpediatric-institutions
#3
Daniel L Lodwick, Jennifer N Cooper, Dani O Gonzalez, Amy E Lawrence, Choonsik Lee, Rajesh Krishnamurthy, Peter C Minneci, Katherine J Deans
BACKGROUND: Computed tomography (CT) imaging protocols and prescribing practices vary across institutions. Pediatric trauma patients imaged at a pediatric trauma center (PTC) may receive less radiation than patients imaged at non-PTCs before transfer. Our objective was to determine differences in radiation exposure from imaging performed at a PTC versus non-PTCs. METHODS: This retrospective analysis included patients <18 y old who underwent CT imaging from January 2013 to August 2015 during a trauma-related encounter...
December 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30425598/incidences-and-factors-associated-with-perioperative-cardiac-arrest-in-trauma-patients-receiving-anesthesia
#4
Visith Siriphuwanun, Yodying Punjasawadwong, Suwinai Saengyo, Kittipan Rerkasem
Purpose: The aim of this study was to determine the incidences and factors associated with perioperative cardiac arrest in trauma patients who received anesthesia for emergency surgery. Patients and methods: This retrospective cohort study was approved by the medical ethical committee, Faculty of Medicine, Maharaj Nakorn Chiang Mai Hospital, Thailand. Data of 19,683 trauma patients who received anesthesia between January 2007 and December 2016, such as patient characteristics, surgery procedures, anesthesia information, anesthetic drugs, and cardiac arrest outcomes, were analyzed...
2018: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/30416806/the-utilization-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-preparation-technique-and-the-implementation-of-a-novel-approach-to-stabilizing-hemorrhage
#5
REVIEW
Dong Hun Kim, Sung Wook Chang, Junichi Matsumoto
Noncompressible torso hemorrhage (NCTH), if not controlled promptly, leads to death. In the acute setting, aortic occlusion can be performed as damage control surgery (DCS) for hemorrhage originating from the abdomen and pelvis. With the development of endovascular technology, an intra-aortic balloon can be used to achieve aortic occlusion and decrease hemorrhage. Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as a salvage technique for the temporary stabilization of patients with NCTH...
September 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30392124/epidemiology-of-firearm-injuries-in-a-scandinavian-trauma-center
#6
Pernilla Brandt Bäckman, Louis Riddez, Lennart Adamsson, Carl-Magnus Wahlgren
BACKGROUND: There is a concern that civilian gunshot injuries in Europe are increasing but there is a lack of contemporary studies. The purpose of this study was to investigate the current epidemiology and outcome of firearm injuries. METHODS: Retrospective cohort study of all patients (n = 235) treated for firearm injuries admitted to a Scandinavian trauma center between 2005 and 2016. Local and national trauma registries were used for data collection. RESULTS: Mean age was 31...
November 3, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/30387538/measuring-epidermal-effects-of-ostomy-skin-barriers
#7
Gary Grove, Tim Houser, Gary Sibbald, Ginger Salvadalena
BACKGROUND: Ostomy barriers are adhesive devices designed to hold pouching systems to the abdomen and protect the peristomal skin from stoma effluent. The objective of this study was to determine differences in the extent of skin trauma resulting from serially applying and removing two types of ostomy barriers. METHODS: The study was a randomized, prospective, repeated measure trial involving healthy volunteers. The ostomy skin barriers were applied to the abdomen and changed every 3-4 days over a 17-day period...
November 2, 2018: Skin Research and Technology
https://www.readbyqxmd.com/read/30380995/non-invasive-evaluation-of-a-liver-mass-in-a-patient-post-splenectomy
#8
Bella Smolen, Johad Khoury, Yaacov Baruch, Tarek Saadi
INTRODUCTION: Numerous conditions may cause liver lesions, solitary or multiple, benign or malignant. It can be crucial to establish the correct diagnosis. Splenosis is a rare condition that may result from the spillage of cells from the splenic pulp following abdominal trauma, accidental lesions to the spleen during operation or elective splenectomy. These splenic 'implants', which are often multiple, can be located anywhere in the peritoneal cavity, although they are most often found in the left upper quadrant of the abdomen...
October 31, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/30369953/usefulness-of-pelvic-radiographs-in-the-initial-trauma-evaluation-with-concurrent-ct-is-additional-radiation-exposure-necessary
#9
Anne K Misiura, Autumn D Nanassy, Jacqueline Urbine
Trauma patients in a Level I Pediatric Trauma Center may undergo CT of the abdomen and pelvis with concurrent radiograph during initial evaluation in an attempt to diagnose injury. To determine if plain digital radiograph of the pelvis adds additional information in the initial trauma evaluation when CT of the abdomen and pelvis is also performed, trauma patients who presented to an urban Level I Pediatric Trauma Center between 1 January 2010 and 7 February 2017 in whom pelvic radiograph and CT of the abdomen and pelvis were performed within 24 hours of each other were analyzed...
2018: International Journal of Pediatrics
https://www.readbyqxmd.com/read/30362442/-aneurysmal-degeneration-of-a-bioprosthesis
#10
I S Mukhamadeev, K V Prokhorov, A A Oborin
We present a clinical case of successful correction of aneurismatic dilatation of the anastomosis zone after allotransplant implantation. In 2004 this patient underwent implantation of an arterial allotransplant of "complex architectonics" because of trauma of the iliofemoral arterial segment. After 12 years he reported appearance of discomfort in the left side of the abdomen. Duplex ultrasound scanning revealed aneurism at the site of anastomosis of the prosthesis with internal iliac artery. Therefore, we performed endovascular isolation of the aneurism with the use of a stent-graft and restoration of blood flow down to the extremity periphery has been performed...
June 2018: Kardiologiia
https://www.readbyqxmd.com/read/30359333/an-unexpected-complication-of-a-heterotopic-ossified-abdominal-scar
#11
Marius Anastasiu, Razvan Dedu, Dragos Vicol, Doina Popescu
AIM: Presentation and discussion of a case of heterotopic ossification of a vertical abdominal surgical scar. PERSONAL OBSERVATION: A recent trauma in an 70 year old patient, followed by a sudden internal hemorrhage because of a penetration in abdomen of a bone stump, originated from a fracture of a not known heterotopic ossification of an old median abdominal scar, of a laparotomy of many years earlier for perforated duodenal ulcer. RESULTS: An emergency surgery was mandatory DISCUSSION: Pathogenesis of heterotopic ossification, as rare metaplastic phenomenon outside of the normal bone tissue, still unknown and speculative...
June 12, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/30348473/thoracic-impalement-injury-a-survivor-with-large-metallic-object-in-situ
#12
Randhawa Muhammad Afzal, Muhammad Armughan, Muhammad Waqas Javed, Usman Ali Rizvi, Sajida Naseem
Impalement injuries, is a severe form of trauma, which are not common in civilian life. These injuries rarely occurs in major accidents. Abdomen, chest, limbs and perineum are often involved due to their large surface area. Thoracic impalement injury is usually a fatal injury, due to location of major vessels and heart in the thoracic cavity. These injuries are horrifying to site, but the patients who are lucky enough to make it to hospital, usually survive. Chances of survival are larger in right sided impalement injuries while central injuries are always died at the scene...
September 20, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/30338260/epidural-analgesia-with-surgical-stabilization-of-flail-chest-following-blunt-thoracic-trauma-in-patients-with-multiple-trauma
#13
Darko Aleksa Golic, Dragan Svraka, Nataša Keleman, Snjezana Petrovic
Flail chest, often defined as the fracture of three or more ribs in two or more places, represents the most severe form of rib fractures. Conservative treatment, consisting of respiratory assistance with endotracheal intubation and mechanical ventilation (internal pneumatic stabilization) and pain control, are the current treatments of choice in the majority of patients with multiple rib fractures. However, the use of mechanical ventilation may create complications. In selected patients, operative fixation of fractured ribs within 72 h post injury may lead to better outcomes...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/30328277/position-of-the-abdominal-seat-belt-sign-and-its-predictive-utility-for-abdominal-trauma
#14
Osborn Jiang, Stephen Edward Asha, Jessica Keady, Kate Curtis
OBJECTIVE: In a motor vehicle crash, compressive forces from the lap component of the seat belt may produce an abdominal abrasion/contusion known as the 'seat belt sign', and is associated with abdominal and lumbar injuries. Previous research has not taken into account the position of this sign in relation to the anterior superior iliac spine (ASIS). Our aim was to demonstrate an association between the seat belt sign position in relation to ASIS and the presence of abdominal/lumbar injury...
October 16, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/30326855/prior-ct-imaging-history-for-patients-who-undergo-whole-body-ct-for-acute-traumatic-injury-and-are-discharged-home-from-the-emergency-department
#15
Mary Matthews, Peter Richman, Scott Krall, Kimberly Leeson, K Tom Xu, Albert L Gest, Osbert Blow
BACKGROUND: Recurrent CT imaging is believed to significantly increase lifetime malignancy risk. We previously reported that high acuity, admitted trauma patients who received a whole-body CT in the emergency department (ED) had a history of prior CT imaging in 14% of cases. The primary objective of this study was to determine the CT imaging history for trauma patients who received a whole-body CT but were ultimately deemed safe for discharge directly home from the ED. METHODS: This was a retrospective cohort study conducted at an academic ED...
October 16, 2018: BMC Emergency Medicine
https://www.readbyqxmd.com/read/30316107/imaging-of-acquired-transdiaphragmatic-fistulae-and-communications
#16
REVIEW
Abhishek Chaturvedi, Prabhakar Rajiah, Apeksha Chaturvedi
Acquired diaphragmatic defects occur secondary to trauma, infection, surgery or neoplasm. These defects can lead to abnormal thoraco-abdominal fistulous communications also. Examples of surgically created diaphragmatic defects are omental, colonic interposition and vascular grafts. Regardless of etiology, these transdiaphragmatic communications provide a direct path for spread of pathology between the abdomen and thorax. If left untreated and unrecognized, these fistulae portend a high morbidity and mortality...
October 6, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/30310705/variations-in-the-branching-pattern-of-the-celiac-trunk-and-its-clinical-significance
#17
Hemamalini
Celiac trunk is the artery of foregut, arising from the abdominal aorta at the level of T12/L1 vertebral body. It extends approximately 1.5 to 2 cm horizontally forwards before dividing into three branches: left gastric, common hepatic, and splenic arteries. Out of the three ventral branches of abdominal aorta, celiac trunk is more prone to have variations. During routine dissection of abdomen for undergraduate students we found some rare variations in the branching pattern of the celiac trunk. Absence of celiac trunk with hepatomesenteric trunk, quadrifurcation with dorsal pancreatic artery arising from it, quadrifurcation with middle colic artery arising from it, left inferior phrenic artery arising from celiac trunk, highly tortuous splenic artery supplying distal 1/3rd of transverse colon and hepatosplenic trunk...
September 2018: Anatomy & Cell Biology
https://www.readbyqxmd.com/read/30308018/location-dependent-effects-of-trauma-on-oxidative-stress-in-humans
#18
Luis Servia, José C E Serrano, Reinald Pamplona, Mariona Badia, Neus Montserrat, Manuel Portero-Otin, Javier Trujillano
Though circulating antioxidant capacity in plasma is homeostatically regulated, it is not known whether acute stressors (i.e. trauma) affecting different anatomical locations could have quantitatively different impacts. For this reason, we evaluated the relationship between the anatomical location of trauma and plasma total antioxidant capacity (TAC) in a prospective study, where the anatomical locations of trauma in polytraumatic patients (n = 66) were categorized as primary affecting the brain -traumatic brain injury (TBI)-, thorax, abdomen and pelvis or extremities...
2018: PloS One
https://www.readbyqxmd.com/read/30306138/use-of-reboa-to-stabilize-in-hospital-iatrogenic-intra-abdominal-hemorrhage
#19
Christopher J Goodenough, Tyler A Cobb, John B Holcomb
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become an increasingly popular alternative to emergency thoracotomy and aortic cross-clamping in patients with exsanguinating hemorrhage.1 This new capability is increasingly being used in non-trauma situations.2 3 This report demonstrates another novel use of REBOA for iatrogenic intra-abdominal hemorrhage. An 83-year-old man with multiple medical comorbidities and a history of chronic mesenteric ischemia was admitted to our institution for an elective mesenteric revascularization...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/30274755/open-abdomen-and-entero-atmospheric-fistulae-an-interim-analysis-from-the-international-register-of-open-abdomen-iroa
#20
Federico Coccolini, Marco Ceresoli, Yoram Kluger, Andrew Kirkpatrick, Giulia Montori, Fracensco Salvetti, Paola Fugazzola, Matteo Tomasoni, Massimo Sartelli, Luca Ansaloni, Fausto Catena, Ionut Nego, Monica Zese, Savino Occhionorelli, Sergei Shlyapnikov, Christian Galatioto, Massimo Chiarugi, Zaza Demetrashvili, Daniele Dondossola, Orestis Ioannidis, Giuseppe Novelli, Mirco Nacoti, Desmond Khor, Kenji Inaba, Demetrios Demetriades, Torsten Kaussen, Asri Che Jusoh, Wagih Ghannam, Boris Sakakushev, Ohad Guetta, Agron Dogjani, Stefano Costa, Sandeep Singh, Dimitrios Damaskos, ArdaIsik, Kuo-Ching Yuan, Francesco Trotta, Stefano Rausei, Aleix Martinez-Perez, Giovanni Bellanova, ViniciusCordeiro Fonseca, Fernando Hernández, Athanasios Marinis, Wellington Fernandes, Martha Quiodettis, Miklosh Bala, Andras Vereczkei, Rafael Curado, Gustavo Pereira Fraga, Bruno M Pereira, Mahir Gachabayov, Guillermo Perez Chagerben, Miguel Leon Arellano, Sefa Ozyazici, Gianluca Costa, Tugan Tezcaner, Matteo Porta, Yousheng Li, Faruk Karateke, Dimitrios Manatakis, Federico Mariani, Federic Lora, Ivan Sahderov, Boyko Atanasov, Sergio Zegarra, Luca Gianotti, Luca Fattori, Rao Ivatury, Ionut Nego, Monica Zese, Savino Occhionorelli, Sergei Shlyapnikov, Christian Galatioto, Massimo Chiarugi, Zaza Demetrashvili, Daniele Dondossola, Orestis Ioannidis, Giuseppe Novelli, Mirco Nacoti, Desmond Khor, Kenji Inaba, Demetrios Demetriades, Torsten Kaussen, Asri Che Jusoh, Wagih Ghannam, Boris Sakakushev, Ohad Guetta, Agron Dogjani, Stefano Costa, Sandeep Singh, Dimitrios Damaskos, ArdaIsik, Kuo-Ching Yuan, Francesco Trotta, Stefano Rausei, Aleix Martinez-Perez, Giovanni Bellanova, ViniciusCordeiro Fonseca, Fernando Hernández, Athanasios Marinis, Wellington Fernandes, Martha Quiodettis, Miklosh Bala, Andras Vereczkei, Rafael Curado, Gustavo Pereira Fraga, Bruno M Pereira, Mahir Gachabayov, Guillermo Perez Chagerben, Miguel Leon Arellano, Sefa Ozyazici, Gianluca Costa, Tugan Tezcaner, Matteo Porta, Yousheng Li, Faruk Karateke, Dimitrios Manatakis, Federico Mariani, Federic Lora, Ivan Sahderov, Boyko Atanasov, Sergio Zegarra, Luca Gianotti, Luca Fattori, Rao Ivatury
INTRODUCTION: No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question. MATERIAL AND METHODS: A prospective analysis of adult patients enrolled in the IROA. RESULTS: Among 649 adult patients with OA 58 (8...
September 24, 2018: Injury
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