3 edition of Associated peacetime thoraco-abdominal trauma found in the catalog.
Associated peacetime thoraco-abdominal trauma
|LC Classifications||RD536 A43|
|The Physical Object|
|Pagination||172 p. :|
|Number of Pages||172|
Trauma care including abdominal trauma is a big challenge. It is associated with high morbidity and mortality and continues to be a public health problem worldwide. The main aims of our study were to assess the patterns and outcomes of our patients, and to describe our experience in management of abdominal trauma. This descriptive retrospective study was conducted in general surgery department. Thoraco-abdominal aortic aneurysm (TAAA) repair remains a formidable challenge to vascular surgeons with the open repair associated with a high morbidity and mortality despite advances in surgical.
The burden of HIV/AIDS in Sub-Saharan Africa has presented unusual and challenging acute surgical problems across all specialties. Thoraco-abdominal surgery cuts through muscle and thereby disrupts the normal anatomy and activity of the respiratory muscles leading to reduced lung volumes and putting the patients at greater risk of developing post-operative pulmonary complications . Twelve patients with blunt trauma had associated abdominal and extra-abdominal injuries, but only one of the three patients with penetrating trauma had other injuries. The median Injury Severity.
Pelvic trauma (PT) is one of the most complex management in trauma care and occurs in 3% of skeletal injuries [1–4].Patients with pelvic fractures are usually young and they have a high overall injury severity score (ISS) (25 to 48 ISS) .Mortality rates remain high, particularly in patients with hemodynamic instability, due to the rapid exsanguination, the difficulty to achieve hemostasis. A negative urinalysis is associated with a low likelihood of intra-abdominal injury after blunt abdominal trauma. Am J Surg ; Moustafa F, Loze C, Pereira B, et al. Assessment of urinary dipstick in patients admitted to an ED for blunt abdominal trauma.
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Penetrating trauma to the torso can present a complex diagnostic and therapeutic challenge. Injuries can occur to the precordium, the thoraco-abdominal region, abdomen, flank, back, and pelvis. Injuries often occur simultaneously in several body cavities.
Each of these body regions may require a different approach for both diagnosis and treatment. Penetrating injury from the nipple line to.
Author(s): Altschuler,B Title(s): Associated peacetime thoraco-abdominal trauma: clinical-anatomy research: monograph/ B. Altschuler. Edition: 1. Penetrating DI has a more variable pattern depending on mechanism of injury. 5 The incidence of diaphragmatic injury following thoraco-abdominal trauma is as high as % 6 and penetrating wounds are twice more likely to precede DI than blunt injury.
7 Penetrating stab wounds are particularly dangerous as small defects in the diaphragm Cited by: 3. Penetrating DI has a more variable pattern depending on mechanism of injury.
5 The incidence of diaphragmatic injury following thoraco-abdominal trauma is as high as % 6 and penetrating wounds are twice more likely to precede DI than blunt injury.
7 Penetrating stab wounds are particularly dangerous as small defects in the diaphragm Cited by: 3. Diaphragmatic trauma occurs in 2–5% of patients with blunt injuries. These are often large, central tears which can be associated with herniation of intra-abdominal contents into the chest.
The incidence of diaphragm injuries is 20–59% with gun-shot wounds and 15–32% with stab wounds in the thoraco-abdominal by: The frequency of abdominal penetration in association with thoracic injuries varies depending on the patients selected and the mechanism of injury.4, 36, 39, 54 Some studies include all penetrating thoracic trauma, Associated peacetime thoraco-abdominal trauma book others may include only lower thoracic injuries, or even right- versus left-sided injuries.
In general, gunshot wounds to the thorax are associated with abdominal. 1. Introduction. Motor vehicle crashes mostly cause blunt abdominal trauma and some pulmonary trauma, which can be fatal. 1 Seatbelts in conjunction with airbags provide protection in vehicle crashes and reduce morbidity and mortality.
2 Here, we report a case of occult thoraco-abdominal trauma that was not evident on initial chest radiology in a patient with three-point seatbelt and airbag. Management of TDI associated with penetrating thoraco-abdominal trauma.
In our institutions the indications for immediate laparotomy following penetrating trauma include peritonitis, hemodynamic instability and radiological findings such as free air with diaphragmatic herniation (see figure 1).
At laparotomy the diaphragm is inspected. E. Wilson, D. Metcalfe, K. Sugand, et d recognition of diaphragmatic injury caused by penetrating thoraco-abdominal trauma Int J Surg Case Rep, 3. Discussion. In severe thoraco-abdominal trauma, the presence of one or more vertebral fractures is described in approximately 10% of cases , whereas the incidence of vertebral damage associated with lesions of the internal and mesenteric organs is described in as many as 70% .The “seat-belt syndrome” was described for the first time by Garrett in in reporting the association of.
Overall, among all the embolization performed in our department because of acute bleeding, adrenal hemorrhages represented %; this value is comparable to the data reported in literature by Liao et al. referring adrenal gland involved in % of all the thoraco-abdominal trauma. However it should be considered that with the rising employment.
All patients diagnosed with diaphragmatic injuries were included in the study. Over the study period, patients had a thoraco-abdominal trauma.
There were cases of blunt trauma, and penetrating chest or abdominal trauma. Our study involved 20 cases of diaphragmatic injuries ( %). The sex-ratio was 4. The mean age was 33 years. Introduction: The management of thoraco-abdominal trauma h as undergone tremendous revolution in the last dec ades w ith s ignificant redu ction in m ortality in deve lope d countries.
The author discusses resuscitation, thoracic wounds, thoracoabdominal wounds, wounds of the thoracic wall, and closed thoracic and thoracoabdominal trauma and includes illustrative cases.
Resuscitation of the patient is foremost in the author's planned program of treatment. The pathogenesis, physiology, and pathological findings are emphasized. Penetrating abdominal trauma (PAT) has the potential to be a devastating injury and ranks in the top 15 causes of death for all ages.
This article will define the problem of PAT and review the initial management, including the ability to identify, resuscitate, and initiate treatment in patients with unstable PAT prior to their transfer to the operating room (OR).
Trauma is a leading cause of death and disability in children. The following contribution discusses the important anatomical and physiological differences between children and adults. Important. The thoraco-abdominal aortic pathology is not uncommon and represents the ultimate challenge for vascular surgeons.
The book deals with the newest endovascular and hybrid approaches, together with. BLUNT TRAUMA ABDOMEN Blunt abdominal trauma initially is evaluated by FAST examination in most major trauma centers, and this has largely supplanted is not % sensitive, however, so diagnostic peritoneal aspiration is still advocated in hemodynamically unstable patients without a defined source of blood loss to rule out abdominal hemorrhage FAST is used.
The mortality associated with penetrating abdominal trauma is related to the intra-abdominal organs injured, with refractory haemorrhagic shock being the leading cause of death.
Nicholas JM, Rix EP, Easley KA, et al. Changing patterns in the management of penetrating abdominal trauma: the more things change, the more they stay the same. Books at Amazon. The Books homepage helps you explore Earth's Biggest Bookstore without ever leaving the comfort of your couch.
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The diaphragm is a muscular structure which separates the high-pressure abdominal cavity from the negative pressure of the thoracic cavity. Traumatic diaphragmatic injury occurs in to 8% of all thoraco-abdominal traumas. Seventy-five percent of TDIs are due to blunt trauma.
History • Earliest literature on thoraco abdominal trauma form WW-II • Overall mortality of % during WW-II • In recent studies mortality %. • Incidence of thoracoabdominal trauma in penetrating thoracic injury – % Why is thoracoabdominal region is distinct? 1. 70 percent of pericardial injuries are occult.
2.- Chest CT to assess the degree of lung contusion & evaluate for other associated injuries (i.e. aortic rupture) (head, neck, chest, abdomen, lower extremities -- etc. due to other associated injuries) (when someone comes in with flail chest you need to assume there was a trauma- so assume other associated .