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Results for “ABDOMINAL INJURIES”

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At least 685 records · Page 38Linked to original sources
PubMed1988

CT scanning in acute abdominal injuries.

Computed tomography has become an important adjunct in the evaluation of the patient with blunt abdominal trauma. It provides quantitative information about hemoperitoneum as well as qualitative information about the source of hemoperitoneum. CT scanning also evaluates the retroperitoneal organs and retroperitoneal hematoma more accurately than any other available imaging technique. Like any other diagnostic tool, the CT scan must not be overused or abused. This technique should be applied only to stable patients and only in institutions with up-to-date equipment, a committed radiology and surgery staff, and appropriate monitoring equipment in the CT suite. If proper technique is used, then high-quality scans can be obtained which, if interpreted by experienced personnel in the light of the clinical findings, can improve our management of selected trauma patients.

Abdominal Injuries↗
PubMed2003

[Diagnostic laparoscopy and treatment choice in patients with closed abdominal injuries].

The results of laparoscopic investigations, conducted in 94 injured persons with preliminary diagnosis of closed abdominal trauma were analyzed. Of them in 47 the damage of internal organs was excluded. In an emergent order there were operated on 47 patients. Splenectomy was performed in 28 patients (including 2--in whom simultaneously the hepatic and pancreatic lacerations were closed by sutures), cholecystectomy--in 3, cholecystostomy, drainage of bursa omentalis--in 1, resection of small intestine--in 2, resection of omentum--in 1, closure of the small intestine wounds with sutures--in 3, of the bladder with epicystostomy performance--in 2, of the small intestine mesentery--in 2, of the liver--in 1, drainage of bursa omentalis--in 1, opening of infrahepatic abscess--in 1, examination of retroperitoneal hematoma with drainage--in 2.

Abdominal Injuries↗
PubMed2006

[Surgical policy and future of endo-surgery of closed abdominal injuries in severe combined trauma].

Results of examination and treatment of 646 patients with severe combined trauma and closed abdominal trauma are analyzed. Laparocentesis and laparoscopy were used for diagnosis. Laparocentesis (342 procedures) diagnosed injuries of the abdominal organs in 47% cases and excluded them in 33% cases that made a total of 80% of accurate diagnoses. Laparoscopy (304 procedures) provided accurate diagnosis in 99.34% cases. Laparoscopy did not reveal injuries that required additional surgical procedures in 56% patients, in the rest 44% patients surgical methods of treatment were used including laparotomy (29.2%) and endo-surgical procedures (14.8%). Algorithm of diagnosis and treatment is described.

Abdominal Injuries↗
PubMed2000

[Luxatio cordis in blunt-trauma thoraco-abdominal injuries].

A 56-year old woman was admitted to the emergency ward after suffering a blunt thoraco-abdominal high-velocity trauma as she hit the wheel when her car drove into a tree. A laparotomy was performed because of haemodynamic instability and radiographic suspicion of a diaphragmatic rupture. Besides haemorrhage from liver and spleen injuries, an abdominal herniation of the heart through a ruptured pericardium and diaphragm was found. Haemostasis of liver, splenectomy and suturing of defects in pericardium and diaphragm resulted in a haemodynamically stable situation. A high index of suspicion of rupture of pericardium and diaphragm with luxation of the heart in the trauma patient is important to reduce morbidity and mortality due to delay of surgical intervention.

Accidents, Traffic↗
PubMed1996

Gastric bezoar following penetrating abdominal injury. Diagnosis and endoscopic therapy.

We present a patient who developed a gastric bezoar following extensive penetrating abdominal trauma. Bezoar pathogenesis, diagnosis, and endoscopic therapy are highlighted. Additionally, alternative therapeutic modalities are explored with a review of the literature. Combination endoscopic lavage fragmentation/extraction presents a safe method of bezoar resolution.

Abdominal Injuries↗
PubMed1979

Principles and practice of antibiotic therapy for post-traumatic abdominal injuries.

Improved surgical techniques, the use of modern antibiotics and better understanding of the microbiologic characteristics of abdominal sepsis have lead to a satisfying clinical outcome in instances of abdominal trauma which once meant almost certain death. Yet many questions remain unanswered. Future development of several newer antibiotics may further improve the rate of complications. A study of host defense mechanisms may provide additional clues to prevent long term morbidity. Hopefully, future studies will encourage the use of a single antibiotic in the treatment of abdominal trauma. While the newer antibiotics are being investigated, certain older antibiotics, such as penicillin, chloramphenicol and tetracycline, merit additional evaluation under controlled, prospective, randomized, comparative clinical trials.

Abdomen↗