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Search Results: 1 - 10 of 4629 matches for " Penetrating Abdominal Trauma "
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Penetrating Abdominal Trauma: Experience in A Teaching Hospital, Calabar, Southern Nigeria  [PDF]
Maurice Asuquo, Mark Umoh, Victor Nwagbara, Gabriel Ugare, Cyril Agbor, Emmanuel Japhet
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.35079
Abstract: Background: Penetrating abdominal trauma (PAT) typically involves the violation of the abdominal cavity by a gun-shot wound (GSW) or stab wound Recently several studies have favored a more conservative approach as opposed to mandatory exploratory laparotomy. Methods: Patients admitted in the University of Calabar Teaching Hospital (UCTH), Calabar, with PAT from January 2008 to December 2010 were prospectively studied based on a questionnaire. The total number of patients with PAT was compared with total number of emergencies, traumatic injuries and abdominal trauma seen during the same period. Results: A total of 48 patients presented with abdominal trauma: PAT 29 (60%) and blunt abdominal trauma (BAT) 19 (40%). The ages of the patients (28 male, 1 female) ranged from 3 - 62 years (mean 28.1 years). Gunshot wound (GSW) 11 (38%) patients, stab wound 8 (27.6%) patients and machete cut 4 (13.8%) patients ranked first, second and third respectively as causes of PAT. The commonest organ injury was perforation of the small intestine. Four (13.8%) patients were managed conservatively while 25 (86.2%) patients had laparotomy. The duration of admission ranged from 2 - 19 days (mean 10.5 days). Morbidity [surgical site infection (SSI)] and mortality were recorded in 2 (6.9%) and 3 (10.3%) patients respectively. Conclusion: Key areas that require attention have been highlighted. Revamping the ailing economy and gainful employment for youths are paramount areas that require prompt, dedicated and sustained intervention for reduction in violent crimes.
Post-Traumatic Necrohemorragic Pancreatitis Caused by an Air Gun  [PDF]
Rocío González López, Marlen Alvite Canosa, Eva Iglesias Porto, Mohammed Salem Ali, Carlos Gegúndez Gómez, J. Félix Arija Val
Surgical Science (SS) , 2011, DOI: 10.4236/ss.2011.29101
Abstract: Penetrating abdominal trauma is the main cause of pancreatic lesions and delay in diagnosis or treatment can increase morbimortality. We present a case of acute necrohemorrhagic pancreatitis (ANHP) secondary to airgun injury associated with pulmonary embolism caused by the projectile in a 36 year old man. He underwent urgent surgery, appreciating pancreatic contusion but not visualizing the projectile, located by CT scan 3mm from the inferior vena cava. The patient underwent further surgery 48 hours later for necrosectomy and the insertion of an irrigation tube, due to ANHP after the migration of the projectile into the lung. This case underlines the clinical relevance of pancreatic lesion in patients with a penetrating abdominal trauma, the diagnostic difficulty and the surgical strategy, as well as the repercussions of the migration of a foreign body through the blood stream, crossing the right heart chambers and becoming lodged in the lung.
H. Baradaran,J. Salimi,M. Nassaji-Zavareh,A. Khaji A. Rabbani
Acta Medica Iranica , 2007,
Abstract: Trauma continues to be the most frequent cause of death in the first four decades of life that is a main public health problem in some countries. We perform an epidemiological study of Penetrating Abdominal Trauma (PAT). We describe epidemiological of patients in PAT. In a cross-sectional study we evaluated epidemiological PAT admitted to emergency department in six general hospitals in Tehran. The data was collected through a questionnaire that was completed by trained physician trauma center. Statistical analysis was performed using the SPSS software (version 11.5 for windows). Statistical analysis using the chi-square and P<0.05 was accepted as being statistically significant. During the study period, 0.86 % (69/8000) of our patients sustained PAT. Sixty-six (95.7%) patients were male and 3(4.3%) cases were female. The peak age incidence was 15-29 years, with 43(62.3%) patients. Stab wound was the leading cause of PAT in male and female, with 62(89.9%) cases. Firearm was responsible for 7(10.1%) cases. Young males are the most common victims. This is the most productive age group and this has grave implication for the national economy.
Penetrating abdominal injury and peritonitis: A rare case of birth Injury
Patankar Shreeprasad,Patankar Shilpa
Journal of Indian Association of Pediatric Surgeons , 2008,
Abstract: The incidence of birth injuries has decreased considerably because of the identification of risk factors at an earlier stage and taking the decision for caesarian section (LSCS) at proper time. Fractures, nerve palsies and central nervous system injuries comprise the majority of "birth injuries." In this study, we report a newborn that had a birth injury during LSCS. The baby sustained a penetrating abdominal injury by the knife of the surgeon, while performing LSCS. The bowel was injured at two sites, proximal jejunum and descending colon. The baby developed meconeum spillage and peritonitis. Exploratory laprotomy was done and the injuries were identified. The injured portions were resected and bowel continuity was reestablished. The baby had an uneventful recovery.
Morbidity predicting factors of penetrating colon injuries
Mickevi?ius A.,Valeikaite G.,Tamelis A.,Salad?inskas ?.
Acta Chirurgica Iugoslavica , 2010, DOI: 10.2298/aci1003055m
Abstract: THE AIM of this study was to analyze patients suffering from penetrating colon injuries management, clinical outcomes and factors, which predict higher morbidity and complications rate. METHODS: this was a retrospective analysis of prospectively collected data from patients with injured colon from 1995 to 2008. Age, time till operation, systolic blood pressure, part of injured colon, fecal contamination, PATI were registered. Monovariate and multivariate logistic regression was performed to determine higher morbidity predictive factors. RESULTS: 61 patients had penetrating colon injuries. Major fecal contamination of the peritoneal cavity and systolic blood pressure lower than 90 mmHg are independent factors determining the fecal diversion operation. Primary repair group analysis establish that major fecal contamination and systolic blood pressure lower than 90 mmHg OR=4,2 and 0,96 were significant risk factors, which have contributed to the development of postoperative complications. And systolic blood pressure lower than 90 mmHg and PATI 20 predict OR=0,05 and 2,61 higher morbidity. CONCLUSIONS: Fecal contamination of the peritoneal cavity and hypotension were determined to be crucial in choice of performing fecal diversion or primary repair. But the same criteria and PATI predict higher rate of postoperative complications and higher morbidity.
Trauma abdominal penetrante consecutivo à corrente elétrica industrial
Velho, átila Varela;Strappazzon, José Luiz;Gabiatti, Gémerson;
Revista do Colégio Brasileiro de Cirurgi?es , 2000, DOI: 10.1590/S0100-69912000000400012
Abstract: the authors present a case report of a victim of high power electric shock. the main electric lesion was a penetrating abdominal wound with loss of substance of the abdominal wall and an electric lesion of the hepatic segment and of the gallbladder. the surgical treatment included hepatic segmentectomy, cholecystectomy, repair of the abdominal wall with marlex prosthesis and skin graft, besides the debridment of the lesions of extremities. the postoperative evolution was satisfactory and the follow-up for 6 months didn't show any sequelae.
The Professional Medical Journal , 2004,
Abstract: Objectives: 1) To assess the effect of time, nature of injuryand surgical procedure on the prognosis of patients presented with penetrating abdominal trauma 2) Toformulate the recommendations for the management of penetrating abdominal trauma. Design:Prospective. Setting: Surgical Department of Jinnah Hospital, Allama Iqbal Medical College, Lahore.Period: November 2000 to May 2002. Patients & Methods: Sixty consecutive cases of penetratingabdominal trauma presented to surgical emergency were included in this study. Patients having chronicillness or associated injuries like head injury, chest injury, limb injury etc were excluded from the study.Proper history, thorough physical examination and necessary investigations were carried out. After initialresuscitation, exploratory laparotomy was performed in all cases of firearm abdomen. For stab abdomen,the indications for laparotomy included hypotension despite enthusiastic resuscitation, gas under diaphragmon plain x-ray abdomen, evisceration, omental protrusion or peritonitis. The pre and per-operative findingsand surgical procedures were recorded. Results: Fifty five patients (91-67%) were male and five (8.33%)were female. Average age of the patients was 32.2 years. Twenty eight (46.67%) patients reached the hospitalwithin three hours of the injury. Twenty two (36.6%) reached within 3-6 hours and ten patients (16.66%)reached hospital more than six hours after injury. Out of sixty patients forty three (71.67%) were firearm,fifteen patients (25%) were of stab wound and two patients (3.33%) were of road traffic accident. In 19patients two or more organ system were damaged. Type of procedures performed included primary repair,right hemicolectomy, primary repair with diverting colostomy, resection and end to end anastomosis,Hartmann’s procedure, Hepatorrhaphy, splenectomy, distal pancreatectomy, nephrectomy and repair ofKidney. Ten patients died. Post-operative complications included wound infection (24%), chestinfection(13.34%), wound dehiscence (10.67%), fecal fistula (6.67%), burst abdomen(5.34%), subphrenicabscess(2.67%) and transient renal failure (1.34%). Most of the patients who arrived early in the hospital andtreated promptly had less morbidity and mortality. Conclusions: Mandatory exploratory laparotomy for allgunshot and for the stab wounds penetrating the peritoneal cavity proves to be safe and prudent policy.
Management of penetrating abdominal trauma by stab and gun, “San Juan de Dios” University Municipal Hospital (Manejo trauma abdominal penetrante por arma blanca y arma de fuego, Hospital Universitario Municipal “San Juan de Dios”)
Vásquez-Ríos Juan Carlos,Carpio-Deheza Gonzalo,García-Castro Milton,Rodríguez-Rocha Christian
Revista Médico-Científica “Luz y Vida” , 2012,
Abstract: Background: The abdomen region occupies one of the fi rst placesto be damaged by trauma. Its diagnostic approach and the outcomeof their treatment are infl uenced by multiple factors. Penetratingwounds of the abdomen are those that cross all layers of the abdominalwall. Among the causatives of penetrating wounds of abdomenare: PSW (penetrating stab wound) and PGW (penetratingfi rearm wound).Objective: To describe the management of penetrating abdominaltrauma made by stab and fi rearm in the “San Juan de Dios” UniversityMunicipal Hospital.Methods: A descriptive, cross-sectional and retrospective study.The unit of analysis studied was: hospitalized Patients throughemergency service during 2009-2011 period. Those patients had thediagnosis of penetrating abdominal trauma by stab or fi rearm, andmet the criteria inclusion.Results: Total abdominal trauma treated by emergency service during2009-2011 period was 213 patients 112 of which were admittedas penetrating abdominal trauma, being 73,21% produced bystab, and 10,71% by gunshot. Laparotomies performed rate was:laparotomies performed immediately 70,21%, deferred laparotomies29,79% of cases.Conclusions: Penetrating abdominal trauma caused by stab andfi rearm presented a predominance in males being 65% of patients.They were between the second and third decades of life. The mostcommon injury was the small bowel (21.28%). Among the complicationsrelated to the surgical procedure, it was found: in 32.98% ofcases, surgical site infections and abscesses of the wall. -RESUMEN: Introducción: La región del abdomen ocupa uno de los primeroslugares en ser da ado por trauma. Su abordaje diagnóstico y el resultadode su tratamiento son infl uidos por múltiples factores. Lasheridas penetrantes de abdomen son aquellas que atraviesan todaslas capas de la pared abdominal, dentro de las causales de este tipode lesiones se encuentran: HPPAB (Herida Penetrante por ArmaBlanca) y la HPPAF (Herida Penetrante por Arma de Fuego).Objetivo: Describir el manejo del trauma abdominal penetrante porarma blanca y arma de fuego realizado en el Hospital MunicipalUniversitario “San Juan de Dios”.Material y Métodos: Estudio descriptivo, transversal, retrospectivo.La unidad de análisis estudiada fue: Pacientes internados por elservicio de emergencias del Hospital “San Juan de Dios”, duranteel periodo 2009-2011, con el diagnóstico de trauma abdominal penetrantepor arma blanca y arma de fuego y que cumplieron loscriterios de inclusión.Resultados: El total de traumas abdominales atendidos por el serviciode emergencias durante el periodo 2009 a 2011
Factors that influencing the prognosis of penetrating abdominal trauma by stab, Viedma Hospital, 2010-2011 (Factores que influyen en el pronóstico del trauma abdominal penetrante por arma blanca, Hospital Clínico Viedma, 2010-2011)
Aymaya-Gutierrez César Eloy,Gutierrez-Choque Fanny Milenca,Humerez-Rea Cinthia
Revista Médico-Científica “Luz y Vida” , 2012,
Abstract: Background: The care of trauma patients result of accidents andattacks by stab is large and complex. The assessment of prognosticfactors is important and necessary in order to prevent this events .Objective: To determine the factors that infl uence the prognosisof penetrating abdominal trauma by stab in the Viedma Hospital2010-2011.Methods: A descriptive, cross-sectional and retrospective study.The unit of analysis studied was: Patients admitted to emergencydepartment of Viedma Hospital with the diagnosis of abdominalpenetrating trauma by stab.Results: The incidence rate of penetrating abdominal trauma stabrepresented 10% of total admissions to the emergency. The mostaffected gender was male (91%), the most affected age was between15-30 years. We observed that 25% have infl uence on theoccurrence of complications, 33,33% have infl uence on the lengthof stay , and 61,11% on admission to intensive care.Conclusions: Factors that Infl uence for the development of complicationsare: the time elapsed until patient care, the INR, hemoglobin,hematocrit and white blood cell differential (segmented) andinitial laboratory results, signs of peritoneal irritation, the numberof organs involved in the trauma, surgical time and the amount ofpacked red blood cells needed to stabilize the patient. It also influences over the need of intensive therapy: heart rate, respiratoryrate, level of consciousness, abnormal blood clotting, red blood cellcount, number and degree of affected organs, number of surgeriesand surgery time, recovery time, transfusion of packed red bloodcells and the presence of sepsis. -RESUMEN: Introducción: La atención de pacientes por trauma producto deaccidentes y agresiones por arma blanca son de amplio y complejomanejo, siendo la evaluación de los factores que infl uyen en su pronósticoimportantes y necesarios para poder prevenirlos.Objetivo: Determinar los factores que infl uyen en el pronóstico deltrauma abdominal penetrante por arma blanca en el Hospital ClínicoViedma 2010 a 2011.Material y Métodos: Estudio descriptivo, transversal, retrospectivo.La unidad de análisis estudiada fue: Pacientes que se internaronpor el servicio de emergencias del Hospital Clínico Viedma con eldiagnóstico de trauma abdominal penetrante por arma blanca.Resultados: La tasa de incidencia del trauma abdominal penetrantepor arma blanca representó un 10% del total de ingresos al serviciode emergencias. El sexo más afectado fue el masculino (91%), laedad más afectada la encontrada entre los 15-30 a os, se observóque el 25% tienen infl uencia en la aparición de complicaciones,
Hérnias diafragmáticas traumáticas: Revis?o casuística
Sousa,JPA; Baptista,JP; Martins,L; Pimentel,J;
Revista Portuguesa de Pneumologia , 2006,
Abstract: aims: this study classifies cases of traumatic diaphragmatic hernias (tdh) in patients admitted to the intensive care unit (icu) of the coimbra university hospitals (huc) from 1990 to 2004. methods: retrospective analysis of 34 cases of tdh, studying anatomical location, place and time of diagnosis, complementary tests aiding diagnosis, herniated organs, associated traumatism, morbidity and mortality. results: twenty-eight male and six female patients with an average age of 40.5 years ± 20.5, average saps score 38.8. average lenght of stay was 19.1± 13.6 days, all suffered from closed traumatism and were put on artificial ventilation. the left-side diaphragm was more frequently affected (94.1%) then the right. diagnosis in 19 cases was made up in the first six hours following the diagnosis of traumatism, in four cases within 12 hours and in the remaining cases between 48 hours and 16 years after traumatism. in 13 patients the diagnosis was established intra-operatively. the stomach was typically one of the herniated organs. the most frequently associated lesions at the thoracic level were pulmonary contusion, haemothorax and pneumothorax, and at the abdominal level, haemoperitoneum and splenic lesion. the rates for complications and mortality were 55.8% and 11.7% respectively. conclusions: tdh mainly occurs on the left side through closed thoraco-abdominal trauma following road traffic accidents. this group of patients, on average younger than others admitted to icu, presents a longer average hospitalisation period, but has lower rates of mortality and lower saps severity scores. the most commonly herniated organ was the stomach and the most frequently encountered lesions were cranial-encephalic, splenic and pleural traumatisms. pre-operative diagnosis of diaphragmatic injuries is difficult and a high index of clinical suspicion is needed after thoraco-abdominal trauma. this diagnosis should always be considered a possibility in cases of closed thoraco-abdominal tra
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