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Journal articles on the topic 'Intra-abdominal organ injuries'

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1

Dr., Rizwanullah Junaid Bhanbhro* Dr. Shahida Khatoon Dr. Shahnawaz Abro. "TO SEE THE PATTERN OF INTERNAL ORGAN INJURIES ASSOCIATED TO ABDOMINAL TRAUMA." Indo American Journal of Pharmaceutical Sciences 04, no. 11 (2017): 4107–11. https://doi.org/10.5281/zenodo.1048764.

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OBJECTIVE: To evaluate the frequency of intra-abdominal injuries associated to abdominal trauma. MATERIAL AND METHODS: This cross sectional study was conducted at general surgery departments of Isra University Hospital and LUH Hyderabad with the duration of one year from 2014 to 2015. All the patients with abdominal trauma (blunt trauma and penetrating trauma) were incorporated in the study. All cases less than 12 years of age and having brain injuries and unconscious patients were excluded from the study. Details of history, clinical examination, ultrasound abdomen and all required laboratory
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Ordoñez, Carlos A., and Ramiro Manzano Nunez. "Intra-abdominal Infections After Abdominal Organ Injuries." Current Trauma Reports 3, no. 4 (2017): 300–307. http://dx.doi.org/10.1007/s40719-017-0095-x.

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3

DiGiacomo, Jody C., Noam Gerber, L. D. George Angus, Swapna Munnangi, and Sara Cardozo-Stolberg. "Acute traumatic injuries of the adrenal gland: results of analysis of the Pennsylvania trauma outcomes study registry." Trauma Surgery & Acute Care Open 5, no. 1 (2020): e000487. http://dx.doi.org/10.1136/tsaco-2020-000487.

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BackgroundBlunt injuries to the adrenal glands are considered rare, associated with severe injury, and highly mortal, based on autopsy series and earlier retrospective reviews. Recent studies have reported higher incidence rates associated with lower injury severity and mortality rates.MethodsA 3-year review of the Pennsylvania Trauma Outcomes Study Registry of adults with intra-abdominal injuries after blunt trauma was performed and associated organ injuries, injury parameters and in-hospital mortality were compared between those with and those without adrenal gland injury.Results5679 patient
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DOGJANI, Agron, Kastriot HAXHIREXHA, Henri KOLANI, et al. "Correlation between Rib Fractures and Intra-abdominal Organ Injuries after Blunt Chest Trauma." Albanian Journal of Trauma and Emergency Surgery 4, no. 2 (2020): 671–77. http://dx.doi.org/10.32391/ajtes.v4i2.145.

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Introduction; The most common thoracic injuries were rib fractures (40%) and simple lung contusions (35%) and the abdominal organs most commonly injured were the spleen (35%), liver (25%), and kidney (20%). Mortality varies from 3-22%. the thoracic-abdominal injuries,
 Purpose; Evidence of the role of thoracic trauma in intraabdominal injuries. Evaluation of correlation between rib fractures and intra-abdominal organ injuries after Blunt Chest Trauma;
 Materials and methods;
 The study has a retrospective character, conducted within the period of December 2017 - June 2019. In ou
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Kokabi, Nima, Waqas Shuaib, Minzhi Xing, et al. "Intra-abdominal Solid Organ Injuries: An Enhanced Management Algorithm." Canadian Association of Radiologists Journal 65, no. 4 (2014): 301–9. http://dx.doi.org/10.1016/j.carj.2013.12.003.

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The organ injury scale grading system proposed by the American Association for the Surgery of Trauma provides guidelines for operative versus nonoperative management in solid organ injuries; however, major shortcomings of the American Association for the Surgery of Trauma injury scale may become apparent with low-grade injuries, in which conservative management may fail. Nonoperative management of common intra-abdominal solid organ injuries relies increasingly on computed tomographic findings and other clinical factors, including patient age, presence of concurrent injuries, and serial clinica
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Ahmad Khan, Rizwan, and Shagufta Wahab. "Visceral Injuries in Children with Blunt Abdominal Trauma: Pattern, Presentation and Prognosis." Indian Journal of Trauma and Emergency Pediatrics 9, no. 4 (2017): 203–7. http://dx.doi.org/10.21088/ijtep.2348.9987.9417.1.

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Background: Blunt abdominal injury following trauma is quite common in childhood. It may be responsible for major mortality and morbidity depending upon the pattern and presentation of the injury. The aim of our research was to study the pattern, presentation and prognosis of visceral injuries in children afflicted with blunt abdominal trauma. Material and Methods: It was a prospective study conducted over a period of two-and-half years during which a total of 28 children with some form of intra abdominal injury following blunt trauma were studied. Detailed demographic and clinical profiles of
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Sharif, Gul, Niamat Ullah, Mohamad Salman, Sajjad Yousafzai, and Sajjad Mohamad Khan. "Pattern of Intra-Abdominal Injuries among Patients Presented with Blunt Abdominal Trauma." Journal of Health and Rehabilitation Research 4, no. 1 (2024): 1431–36. http://dx.doi.org/10.61919/jhrr.v4i1.663.

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Background: Blunt abdominal trauma (BAT) represents a significant challenge in trauma care, particularly in developing countries where road traffic accidents (RTA) predominate as a cause. Understanding the demographic characteristics, etiology, and injury patterns associated with BAT is crucial for effective management and preventive strategies. Objective: This study aims to evaluate the patterns of BAT in patients presenting to Lady Reading Hospital, Peshawar, focusing on identifying the leading causes, affected demographic groups, and organ-specific injuries to inform better clinical practic
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Aydın, İrfan, and Erdal Yavuz. "Analysis of genitourinary trauma patients admitted to the emergency department." IMC Journal of Medical Science 15, no. 2 (2021): 32–37. http://dx.doi.org/10.3329/imcjms.v15i2.55807.

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Background and objective: Genitourinary injuries are commonly encountered in the emergency department but may be over looked in case of multi-trauma. Determining the clinical features of genitourinary injuries will help physicians in the management of genitourinary trauma.
 Methods: The study was conducted in a tertiary hospital. Patients of all ages, admitted in the emergency department, with trauma between 2015 and 2020 were included and analyzed. The cause of genitourinary trauma, affected organs, any accompanying injury, treatments, mortality status, and laboratory tests related to mo
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9

Kong, VY, GV Oosthuizen, and DL Clarke. "The spectrum of injuries resulting from posterior abdominal stab wounds: a South African experience." Annals of The Royal College of Surgeons of England 97, no. 4 (2015): 269–73. http://dx.doi.org/10.1308/003588415x14181254789204.

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IntroductionThe spectrum of injury associated with anterior abdominal stab wounds (SWs) is well established. The literature on the spectrum of organ injury associated with SWs to the posterior abdomen, however, is limited.MethodsWe reviewed our experience of 105 consecutive patients who had established indications for laparotomy managed over a 4-year period in a high volume trauma service in South Africa.ResultsOf the 105 patients, 97 (92%) were male and the overall mean age was 24 years. Fifty-seven patients (54%) had immediate indications for laparotomy. The remaining 48 patients (46%) initi
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ACAR, Erol, Seda ÖZKAN, Selim GENÇ, and Süleyman ALTUN. "Evaluation of Adult Abdominal Trauma Patients and Intra Abdominal Solid Organ Injuries." Phoenix Medical Journal 2, no. 2 (2020): 90–97. http://dx.doi.org/10.38175/phnx.726844.

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Abinasha, Mohapatra, Shekhar Mishra Himansu, Kumar Pradhan Subrat, and Bhoi Kishan. "Role of CT scan in Management of Blunt Abdominal Injury: An Observational Study in a Tertiary Health Care Centre." International Journal of Pharmaceutical and Clinical Research 15, no. 8 (2023): 1105–12. https://doi.org/10.5281/zenodo.11511272.

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<strong>Background and Objectives:</strong>&nbsp;Evaluating patients who have sustained blunt abdominal injuries remains one of the most challenging and resource &ndash;intensives aspects of acute trauma care. Missed intra-abdominal injuries continue to cause preventable deaths. Objective is to assess efficacy of CT scan (computed tomography as accurate diagnostic tool for blunt abdominal injuries patients.&nbsp;<strong>Methods:</strong>&nbsp;96 cases of blunt abdominal injury admitted in VIMSAR, Medical College, Burla, Sambalpur during the period of October 2021 to October 2022 were included
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Emara, Mohamed H., Usama Mazid, Yasmine A. Elshaer, Mahmoud A. Elkerdawy, Dilaver Farooq Malik, and Aya M. Mahros. "Trauma to the solid abdominal organs: The missed dark box of colonoscopy." World Journal of Gastroenterology 30, no. 7 (2024): 624–30. http://dx.doi.org/10.3748/wjg.v30.i7.624.

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Colonoscopy is an integral part of the lower bowel care and is generally considered a potentially safe diagnostic and therapeutic procedure performed as a daycare outpatient procedure. Colonoscopy is associated with different complications that are not limited to adverse events related to the bowel preparation solutions used, the sedatives used, but to the procedure related as well including bleeding and perforation. Injuries to the extra-luminal abdominal organs during colonoscopy are uncommon, however, serious complications related to the procedure have been reported infrequently in the lite
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Thakre, Dr Sandeep, and Dr Vikram Singh Mujalde. "An Analysis of Injury Patterns of Blunt Abdominal Trauma in Pediatric Population." Scholars Journal of Applied Medical Sciences 9, no. 9 (2021): 1392–94. http://dx.doi.org/10.36347/sjams.2021.v09i09.014.

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Background: Blunt abdominal trauma is a common cause for presentation of children to the Emergency Department. Because of their peculiar body habitus and relatively immature musculoskeletal system children are more prone to sustain injuries to intra-abdominal organs after blunt abdominal trauma. This retrospective study is done to determine the epidemiological parameters of blunt trauma abdomen in pediatric population. Methods: The present retrospective study was carried out in 89 blunt abdominal trauma patients of both sexes aged up to 15 years, over a period of 3 years. The parameters such a
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Severinov, Dmitriy Andreevich, Gennady Alekseevich Bondarev, Vyacheslav Alexandrovich Lipatov, and Araik Rubenovich Saakyan. "Intraoperative Tactics of Local Surgical Hemostasis in Injuries and Planned Operations on the Parenchymal Organs of the Abdominal Cavity." Journal of Experimental and Clinical Surgery 13, no. 3 (2020): 268–78. http://dx.doi.org/10.18499/2070-478x-2020-13-3-268-278.

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Currently, mortality rate in the liver and spleen injuries remains high, despite the present-day level of advances in the diagnosis and treatment of surgical diseases. Damage to parenchymal organs leads to the development of intra-abdominal bleeding. The severity of bleeding depends on the anatomical features of the blood supply to the damaged organ and the massiveness of the lesion, the type of traumatic agent. Intraoperative provision of reliable hemostasis is a significant problem in liver and spleen injuries. This paper summarizes the experience of Russian and foreign experts on surgical t
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Sakalecha, Anil Kumar, GR Varshitha, A. Chaithanya, AVS Nikhilendra Reddy, M. Rangaprasad, and RB Revanth. "Role of multi detector computed tomography (MDCT) in evaluation and management of blunt abdominal trauma." JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 12, no. 3 (2022): 91–100. http://dx.doi.org/10.58739/jcbs/v12i3.5.

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Background: The majority of all blunt and penetrating body injuries are abdominal injuries. Computed tomography is a significant and quick technology that provides information on the kind of abdominal damage quickly and aids in patient care in accordance with that information. The current study's objectives were to assess the value of Multidetector Computed Tomography (MDCT) in identifying intra-abdominal injuries in patients with acute abdominal trauma and to give knowledge that might precisely guide therapy decisions (non- operative versus operative). and to compare the computed tomography (
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Minati, Mohapatra, Panda Srikanta, Misra NityaNutan, Yeshwant R. Lamture, and Sarangi Ansuman. "The Study of Pattern of Injury, Clinical Presentation, Organ Involvement and Associated Injuries in Patients of Penetrating Abdominal Trauma in a Tertiary Care Hospital." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 1236–43. https://doi.org/10.5281/zenodo.12679531.

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<strong>Background:&nbsp;</strong>Abdomen is the most frequently involved organ in penetrating injuries. Its anatomical location makes it unprotected and most susceptible for penetrating injuries either homicidal or accidental. Penetrating injuries can be caused by stab either homicidal or accidental, gunshots. This study is being done to evaluate various indications for emergency laparotomy and morbidity in penetrating abdominal injuries.&nbsp;<strong>Methods:</strong>&nbsp;The prospective observational study was conducted in SCB Medical College, Cuttack from October 2018 to September 2020. T
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Kevric, Jasmina, Victor Aguirre, Kate Martin, Dinesh Varma, Mark Fitzgerald, and Charles Pilgrim. "Peritoneal Breach as an Indication for Exploratory Laparotomy in Penetrating Abdominal Stab Injury: Operative Findings in Haemodynamically Stable Patients." Emergency Medicine International 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/407173.

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Introduction. Management of haemodynamically stable patients with penetrating abdominal injuries varies from nonoperative to operative management. The aim was to investigate whether peritoneal breach when used as an indication for exploratory laparotomy appropriately identified patients with intra-abdominal visceral injury.Methods.We conducted retrospective cohort study of all patients presenting with PAI at a major trauma centre from January 2007 to December 2011. We measured the incidence of peritoneal breach and correlated this with intra-abdominal visceral injury diagnosed at surgery.Resul
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Ali, Kada, Bahou Khaoula, El Mouatassim Zakaria, et al. "Post-traumatic Duodenal Perforation: A Case Report and Literature Review." SAS Journal of Surgery 10, no. 11 (2024): 1240–43. http://dx.doi.org/10.36347/sasjs.2024.v10i11.011.

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Duodenal trauma is rare, but it is increasingly observed due to the rise in car accidents and violent events. It is associated with significant mortality and morbidity rates. Given its complex anatomy, the diagnosis of duodenal injuries remains difficult. These injuries are often associated with multiple major intra-abdominal vascular and solid organ injuries. The surgical management of duodenal trauma remains challenging.
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Mohseni, Shahin, Peep Talving, Leslie Kobayashi, et al. "Closed-Suction Drain Placement at Laparotomy in Isolated Solid Organ Injury is Not Associated with Decreased Risk of Deep Surgical Site Infection." American Surgeon 78, no. 10 (2012): 1187–91. http://dx.doi.org/10.1177/000313481207801038.

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The purpose of this study was to investigate the role of intra-abdominal closed-suction drainage after emergent trauma laparotomy for isolated solid organ injuries (iSOI) and to determine its association with deep surgical site infections (DSSI). All patients subjected to trauma laparotomy between January 2006 and December 2008 for an iSOI at two Level I urban trauma centers were identified. Patients with isolated hepatic, splenic, or renal injuries were included. Study variables extracted included demographics, clinical characteristics, intra-abdominal injuries, drain placement, DSSI, septic
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Baygeldi, Serdar, Oktay Karakose, Kazım Caglar Özcelik, et al. "Factors Affecting Morbidity in Solid Organ Injuries." Disease Markers 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/6954758.

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Background and Aim. The aim of this study was to investigate the effects of demographic characteristics, biochemical parameters, amount of blood transfusion, and trauma scores on morbidity in patients with solid organ injury following trauma.Material and Method. One hundred nine patients with solid organ injury due to abdominal trauma during January 2005 and October 2015 were examined retrospectively in the General Surgery Department of Dicle University Medical Faculty. Patients’ age, gender, trauma interval time, vital status (heart rate, arterial tension, and respiratory rate), hematocrit (H
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Jamal, Aska, Balen Muhammad, and Medya Sadeq. "A prospective evaluation of computerized tomography scan findings in blunt abdominal trauma." Zanco Journal of Medical Sciences 27, no. 1 (2023): 64–73. http://dx.doi.org/10.15218/zjms.2023.009.

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Background and objective: Evaluating patients with blunt abdominal trauma remains one of the most challenging aspects of acute trauma care. CT scan of abdomen remains the standard imaging modality for evaluation of abdominal trauma cases. The aim of this study is to evaluate CT scan findings in blunt abdominal trauma victims with respect to solid organ injuries, hollow viscus injuries, associated thoracic and abdominal wall injuries, associated hemoperitoneum, cause of injury and type of management. Methods: A cross-sectional study was conducted among 96 hemodynamically stable patients with hi
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Jarullah Abdullah ,, Fouad, Bashar Akram Abed ,, and Nazar Saleh Ibrahim. "The presentation and the outcome of penetrating abdominal bullet injuries – Iraqi hospital based study." Diyala Journal of Medicine 23, no. 1 (2022): 10–21. http://dx.doi.org/10.26505/djm.v23i1.921.

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Background: In Iraq penetrating injuries to the abdomen caused by firearm are more common than stab wounds with remarkable mortality and morbidity. Early recognition of the injuries and immediate treatment are mandatory in saving the lives of many of those patients.&#x0D; Objective: To review the presentation and evaluate the early post-operative morbidity and mortality of abdominal bullet injuries in Baghdad teaching hospital.&#x0D; Patients and Methods: This prospective study was conducted on 132 patients admitted to second surgical unit in Baghdad teaching hospital after sustaining bullet i
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Jarullah Abdullah, Fouad, Bashar Akram Abed, and Nazar Saleh Ibrahim. "The presentation and the outcome of penetrating abdominal bullet injuries – Iraqi hospital based study." Diyala Journal of Medicine 23, no. 1 (2022): 10–21. http://dx.doi.org/10.26505/djm.23016210919.

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Background: In Iraq penetrating injuries to the abdomen caused by firearm are more common than stab wounds with remarkable mortality and morbidity. Early recognition of the injuries and immediate treatment are mandatory in saving the lives of many of those patients. Objective: To review the presentation and evaluate the early post-operative morbidity and mortality of abdominal bullet injuries in Baghdad teaching hospital. Patients and Methods: This prospective study was conducted on 132 patients admitted to second surgical unit in Baghdad teaching hospital after sustaining bullet injury to the
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Emeka, Chukwubuike. "Penetrating Abdominal Trauma in Children: A Tertiary Hospital Experience in a Developing Country." Journal of Clinical Research and Reports 8, no. 1 (2021): 01–05. http://dx.doi.org/10.31579/2690-1919/168.

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Objective: Penetrating abdominal trauma in children is a life threatening emergency. The objective of this study was to evaluate our experience in the management of penetrating abdominal trauma in children in a tertiary hospital in Enugu, Nigeria. Materials and Methods: This was a retrospective study of children that were managed for penetrating abdominal injury at the pediatric surgery unit of Enugu State University Teaching Hospital, Enugu, Nigeria. Medical records of the patients over a 10-year period were evaluated. Results: During the study period, there were 21 cases of penetrating abdom
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Deepak, J., K. L. Aravind, Gowri Shankar, and M. Narendrababu. "BICYCLE HANDLEBAR INJURIES IN CHILDREN: IS “RING SIGN,” AN INDICATOR OF INTRA‑ABDOMINAL ORGAN INJURIES?" Indian Journal of Child Health 02, no. 04 (2015): 204–9. http://dx.doi.org/10.32677/ijch.2015.v02.i04.015.

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Zhang, Yu, and Yun-Feng Cui. "Severe acute pancreatitis complicated with intra-abdominal infection secondary to trauma: A case report." World Journal of Clinical Cases 12, no. 25 (2024): 5821–31. http://dx.doi.org/10.12998/wjcc.v12.i25.5821.

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BACKGROUND Pancreatic trauma (PT) is rare among traumatic injuries and has a low incidence, but it can still lead to severe infectious complications, resulting in a high mortality rate. Acute pancreatitis (AP) is a common complication after PT, and when combined with organ dysfunction and sepsis, it will result in a poorer prognosis. CASE SUMMARY We report a 25-year-old patient with multiple organ injuries, including the pancreas, due to abdominal trauma, who developed necrotising pancreatitis secondary to emergency caesarean section, combined with intra-abdominal infection (IAI). The patient
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Greer, Cpt Lauren T., Maj Suzanne M. Gillern, and Maj Amy E. Vertrees. "Article Commentary: Evolving Colon Injury Management: A Review." American Surgeon 79, no. 2 (2013): 119–27. http://dx.doi.org/10.1177/000313481307900221.

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The colon is the second most commonly injured intra-abdominal organ in penetrating trauma. Management of traumatic colon injuries has evolved significantly over the past 200 years. Traumatic colon injuries can have a wide spectrum of severity, presentation, and management options. There is strong evidence that most non-destructive colon injuries can be successfully managed with primary repair or primary anastomosis. The management of destructive colon injuries remains controversial with most favoring resection with primary anastomosis and others favor colonic diversion in specific circumstance
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Ismail, Aqsa, M. Hassan -Ul-Haque, Muhammad Jamaluddin, Bushra Tasneem, Saima Sagheer, and Rizwan Ahmed Khan. "Intra-Abdominal Solid Visceral Injuries in Adult Patients Presenting with Blunt Abdominal Trauma." ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 25, no. 4 (2021): 231–37. http://dx.doi.org/10.58397/ashkmdc.v25i4.415.

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Objective: To determine the frequency of intra-abdominal solid visceral injuries in adults presenting with blunt abdominal trauma (BAT) at a public sector tertiary care hospital in KarachiMethods: The current descriptive cross-sectional study was carried out at Department of Surgery Abbasi Shaheed Hospital during March 2016 to September 2016 after acquiring ethical approval from Hospital Committee. Total 165 patients were recruited into the study using non-probability consecutive sampling technique. Trauma was managed according to Advance Trauma Life Support (ATLS) guidelines. Laboratory and i
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Chung, Jae Sik, Sanghyun An, Hyeun Eui Moon, Yonsu Kim, and Tae-Ha Chung. "Association Between Obesity and Intra-Abdominal Solid Organ Damage in Patients with Blunt Abdominal Trauma: A Cross-Sectional Study." Journal of Clinical Medicine 13, no. 23 (2024): 7467. https://doi.org/10.3390/jcm13237467.

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Background/Objectives: The global prevalence of obesity continues to rise. However, whether obesity affects the degree of intra-abdominal solid organ damage following blunt trauma remains unclear. This study aimed to investigate the correlation between obesity and intra-abdominal solid organ damage. Methods: This cross-sectional study was conducted at a regional trauma center in the Republic of Korea from January 2018 to December 2022 and included 582 patients aged 18–98 years with blunt abdominal trauma. Patients were categorized into four groups—underweight, normal weight, overweight, and ob
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Pal, Vijay, Bhavinder Kumar Arora, Rohit Singh, et al. "Studying the clinical profile of blunt hepatic trauma." International Surgery Journal 8, no. 3 (2021): 869. http://dx.doi.org/10.18203/2349-2902.isj20210918.

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Background: The liver is the largest intra-abdominal organ and is considered to be the second commonest organ to be injured in blunt abdominal trauma. Blunt hepatic injuries due to road traffic accidents are the sixth leading cause for death in India. Approximately 15-20% of abdominal injury presents as hepatic trauma and is liable for 50% of death resulting from abdominal trauma. The mortality rate is higher with blunt hepatic trauma than penetrating injuries. The advent of improved and expeditious imaging technologies amid advances in critical-care monitoring, prompted a significant shift to
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Fraga, Gustavo Pereira, Fernando Henrique Bergo de Souza e. Silva, Nicolle Antunes de Almeida, Jorge Carlos Machado Curi, and Mario Mantovani. "Blunt abdominal trauma with small bowel injury: are isolated lesions riskier than associated lesions?" Acta Cirurgica Brasileira 23, no. 2 (2008): 192–97. http://dx.doi.org/10.1590/s0102-86502008000200013.

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PURPOSE: The objective of this study was to compare patients with "isolated" blunt small bowel injury (SBI) to patients with multiple intra-abdominal injuries and analyze whether delayed laparotomy affected outcome. METHODS: Medical records of patients that suffered a blunt SBI between 1994 and 2005 were reviewed. The patients were divided into two groups: those with isolated SBI and those with other associated intra-abdominal injuries ("non-isolated"). The method of diagnosis, time to operation, small bowel Organ Injury Scale (OIS) assessment (grade &gt; 2), injury severity score (ISS), morbi
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Kama, Ahmet, Savas Coskun, Melih Yuksel, Ali Cihat Yildirim, Elnare Gunal, and Gulsen Cıgsar. "Traumatic laceration of the portal vein." CJEM 18, no. 4 (2015): 306–8. http://dx.doi.org/10.1017/cem.2015.12.

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AbstractDespite its relatively protected position, the liver is the most frequently injured solid intra-abdominal organ.1 Most liver injuries can be managed conservatively, but about 5% to 10% require urgent laparotomy, usually when the mechanism of injury involves a vehicle accident and hemodynamic instability persists, in spite of 40 mL/kg of blood transfusion.2,3 In particular, grades IV and V liver injuries may pose a challenge to the surgeon trying to control hemorrhage, the leading cause of mortality.4 Traumatic injuries to the portal vein are rare but devastating. The mortality rate for
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Jones, Hunter, and Hassan Ahmed. "One Bullet Causing Five Holes, Laparoscopic Exploration with Repair: A Case Report and Review of the Literature." Case Reports in Surgery 2020 (August 3, 2020): 1–5. http://dx.doi.org/10.1155/2020/8861270.

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Introduction. The proper treatment of penetrating abdominal wounds has been a controversial topic, and the preferred regimen has evolved over time. In recent years, many trauma centers have started using diagnostic laparoscopy in stable trauma patients in an effort to reduce the incidence of nontherapeutic laparotomy. This is more commonly seen in solid organ injuries, and its role is less clearly defined for hollow visceral injuries. Case Presentation. A 19-year-old male presented with a gunshot wound (GSW) to the abdomen with mild peritoneal signs and computed tomography (CT) findings. Diagn
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Calkin, Tyler, Emily Ernest, and John Lubicky. "Spinal Flexion Distraction Injuries: Chance Fractures and Posterior Ligamentous Equivalents in Children and Adolescents." West Virginia Medical Journal 116, no. 3 & 4 (2020): 48–54. http://dx.doi.org/10.21885/wvmj.2020.8.

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Flexion-distraction injuries (FDI) are uncommon and often serious due to the mechanism of injury. Although originally described as a bony lesion in the thoracolumbar spine, these injuries can be purely bony, purely ligamentous/soft tissue or a combination at all spinal levels. Because of the forces involved, associated non-spine injuries can occur. Data on patients age 0-18 years with spinal injuries over a ten-year period were retrospectively reviewed and patients were classified into two groups, those with FDI and those with a spinal fracture other than FDI. Cervical and thoracic FDI, Chance
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., Puran, and Narendra Kumar Kardam. "Role of multidetector computed tomography in evaluation of abdominal trauma in Sothern Rajasthan, India." International Journal of Research in Medical Sciences 7, no. 6 (2019): 2350. http://dx.doi.org/10.18203/2320-6012.ijrms20192526.

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Background: Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. Computed tomography is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient accordingly. The aim of the present study was to evaluate the usefulness of Multidetector Computed Tomography (MDCT) in detection of intra-abdominal injury in patients with blunt abdominal trauma and to provide information that could accurately determine choice of management (non- operative versus operative). And to correlate the compu
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Mladenovic, Marko, Predrag Stoiljkovic, Ivica Lalic, Vladimir Harhaji, and Andrija Krstic. "Open pelvic fractures - results of an multi-institutional study." Vojnosanitetski pregled, no. 00 (2021): 65. http://dx.doi.org/10.2298/vsp190410065m.

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Open pelvic fractures are devastating injuries, rare, and with high mortality. Leading causes of mortality are: haemorrhage, infection and associated injuries. The aim of this paper is to point out methods of treating these injuries and great number of prognostic mortality factors. Material - in period from January 2011 to December 2015, 221 patients with pelvis ringfracture were treated in three large clinical centers of Serbia, of which 13(5%) had an open fracture type. We have classified pelvic ring fractures according to the Young - Burgess classification. We have classified injuries accor
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Jagne, Nilesh, Ajay Kumar, Ajay Dhiman, Vishal Patil, and Madhur Uniyal. "Do you think of gangrenous gallbladder following blunt trauma abdomen? a rare case report." International Surgery Journal 8, no. 12 (2021): 3720. http://dx.doi.org/10.18203/2349-2902.isj20214773.

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Isolated gangrenous gallbladder secondary to blunt trauma abdomen (BTA) is the rarest entity comes with great challenge due to low incidence. Gallbladder injury was reported to be between 1.9%-2.1% of all abdominal trauma, out of it, gall bladder rupture seen in &lt;1%. Till date only one case report has been published. Clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. This case report describes a significant mechanism of blunt force injury resulting in an isolated gangrenous gallbladder as it is a relatively well-protected organ; consequ
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Dhillon, Atmajit Singh. "Are Gynaecologists underutilising the open access technique for laparoscopic surgery?" International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (2018): 1791. http://dx.doi.org/10.18203/2320-1770.ijrcog20181904.

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Background: Open access technique for laparoscopic surgery is used by the surgeons routinely, for gaining intraabdominal access safely, but is somehow underutilised by gynaecologists. The most important and dangerous part of laparoscopic surgery is while gaining access to the abdominal cavity, especially in the obese, thin and in patients with previous abdominal scars. Various access techniques have been described including Hasson and Fielding technique, transvaginal or transuterine insufflation, alternative sites for introducing Veress needle abdominally and insufflations with an optical troc
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Nair, Induchoodan Ponnamma Pillai Sukumaran, and Rajesh P. S. "A prospective and retrospective study on conservative management of hepatic and splenic injury following blunt abdominal trauma." International Surgery Journal 7, no. 6 (2020): 1930. http://dx.doi.org/10.18203/2349-2902.isj20202061.

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Background: worldwide road traffic accidents accounts as the leading cause of death of young people. For a very long time most of the intra-abdominal injuries following blunt abdominal trauma were managed operatively. Conservative management is becoming more acceptable and effective management option for blunt abdominal trauma during the last few decades.Methods: This study was conducted in Government Medical College, Kottayam during September 2007 to December 2008. All conservatively managed blunt abdominal trauma patients during the study period were included in the study.Results: Out of 22
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Falimirski, Mark E., and David Provost. "Nonsurgical Management of Solid Abdominal Organ Injury in Patients over 55 Years of Age." American Surgeon 66, no. 7 (2000): 631–35. http://dx.doi.org/10.1177/000313480006600706.

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Age greater than 55 is often stated to be a contraindication to nonoperative management of intraperitoneal solid organ injury, based upon failures in early experiences of nonoperative therapy. Refinements in the criteria for nonoperative management of hepatic and splenic injuries have yielded improved success rates compared with those in initial reports, raising questions as to the validity of an age-related contraindication. A retrospective chart review of patients more than 55 years of age sustaining blunt hepatic and/or splenic injury at two urban Level I trauma centers was performed. Patie
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Azizova, Farida. "DEVELOPMENT OF CARDIAC DYSFUNCTION IN MILITARY PERSONNEL WITH CHRONIC VS ACUTE INCREASES IN INTRA-ABDOMINAL PRESSURE." International journal of networks and security 4, no. 1 (2024): 44–48. https://doi.org/10.55640/ijns-04-01-08.

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This study examines the development of cardiac dysfunction in military personnel with chronic versus acute increases in intra-abdominal pressure (IAP). Intra-abdominal hypertension (IAH) has been associated with significant cardiovascular complications, including impaired myocardial function and hemodynamic instability. The study compares two groups of military patients—those with chronic IAP elevations, often due to repeated abdominal trauma or surgeries, and those with acute IAP increases following traumatic injuries or emergency surgeries. Using a retrospective cohort design, we assessed ca
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Gurunluoglu, Kubilay, Ismail Okan Yildirim, Ramazan Kutlu, et al. "Advantages of early intervention with arterial embolization for intra-abdominal solid organ injuries in children." Diagnostic and Interventional Radiology 25, no. 4 (2019): 310–19. http://dx.doi.org/10.5152/dir.2019.18559.

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43

PIMENTEL, SILVANIA KLUG, GUILHERME VINICIUS SAWCZYN, MELISSA MELLO MAZEPA, FELIPE GUILHERME GONÇALVES DA ROSA, ADONIS NARS, and IWAN AUGUSTO COLLAÇO. "Risk factors for mortality in blunt abdominal trauma with surgical approach." Revista do Colégio Brasileiro de Cirurgiões 42, no. 4 (2015): 259–64. http://dx.doi.org/10.1590/0100-69912015004011.

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ABSTRACTObjective:identify risk factors for mortality in patients who underwent laparotomy after blunt abdominal trauma.Methods:retrospective study, case-control, which were reviewed medical records of blunt trauma victims patients undergoing laparotomy, from March 2013 to January 2015, and compared the result of the deaths group with the group healed.Results:of 86 patients, 63% were healed, 36% died, and one patient was excluded from the study. Both groups had similar epidemiology and trauma mechanism, predominantly young adults males, automobilistic accident. Most cases that evolved to death
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Fahman, Aulia Novariza, Rama Nusjirwan, Euis Maryani, and Navy Laksmono. "Traumatic diaphragm rupture treated with left anterolateral thoracotomy approach: a case report." Journal of Indonesia Vascular Access 2, no. 2 (2022): 21–24. http://dx.doi.org/10.51559/jinava.v2i2.21.

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Background: Traumatic diaphragmatic rupture (TDR) is a life-threatening condition due to the herniation of abdominal organs into pleural cavities. Rupture can occur in patients with major blunt or penetration trauma of the lower chest. Blunt TDR is usually caused by momentary high energy damage and is associated with severe trauma. This study aims to evaluate our hospital's experience with managing patients with blunt TDR, including its incidence, modes of diagnosis, operative treatments, postoperative outcomes, and factors predictive of patient outcomes. Case Report: A 44 years old man was re
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Babkina, O. P., and S. I. Danylchenko. "Ultrasound Diagnostics of the Nature and Duration of Abdominal Trauma." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 6, no. 2 (2021): 169–80. http://dx.doi.org/10.26693/jmbs06.02.169.

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The purpose of the study was to study a complex of changes in ultrasound parameters of injured tissues of the liver, spleen, pancreas in mechanical trauma and their dependence on the nature and duration of injury. Materials and methods. Ultrasound examinations were performed in 60 injured patients (41 males and 19 females) aged 20 to 60 years old in the dynamics as for the 1st, 2nd, 3rd, 4th and 5th days after injury. Puncture, transverse and oblique scans from all possible accesses were used. The conditions of the liver, pancreas, spleen, kidneys were studied. Results and discussion. In the c
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Gupta, Vivek, Vikram Singh Sodha, Nitin Kumar, Vishal Gupta, Ravi Pate, and Abhijit Chandra. "Missed pancreatic injury in patients undergoing conservative management of blunt abdominal trauma: Causes, sequelae and management." Turkish Journal of Surgery 37, no. 3 (2021): 286–93. http://dx.doi.org/10.47717/turkjsurg.2021.5425.

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Objective: Pancreas is a less commonly injured organ in blunt abdominal trauma. This study aimed to analyze the management and outcomes of patients in whom the pancreatic injury was missed during the initial evaluation of blunt abdominal trauma. Material and Methods: We retrospectively (2009-2019) analyzed the details and outcome of patients who underwent conservative management of blunt abdominal trauma, where the diagnosis of pancreatic injury was missed for at least 72 hours following trauma. Results: A total of 31 patients with missed pancreatic injury were identified. All patients were he
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Satvaldieva, Elmira A., Otabek Ya Fayziev, and Anvar S. Yusupov. "Multimodal anesthesia and analgesia at the stages of the perioperative period in children with abdominal surgical pathology." Russian Pediatric Journal 24, no. 1 (2021): 27–31. http://dx.doi.org/10.46563/1560-9561-2021-24-1-27-31.

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Aim of the study was assess both the effectiveness and safety of anesthetic management and optimizing postoperative anesthesia under conditions of multimodal anesthesia and analgesia during abdominal operations in children. Patients and methods. The authors examined 58 children aged 1 to 17 years with abdominal operations (malformations, diseases, and abdominal organ injuries). To ensure anesthetic protection, patients underwent combined general anesthesia with propofol and fentanil (induction) with inhalation of sevoflurane + propofol intra venous (maintenance) in combination with epidural bl
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Tengli, Nitin, Rohit Devani, Sharanbasappa S. Karbhari, Mohd Umar Farooque, and Mithun a. "EVALUATION AND MANAGEMENT STRATEGIES FOR PATIENTS WITH BLUNT ABDOMINAL TRAUMA: A HOSPITAL-BASED STUDY." International Journal of Advanced Research 12, no. 07 (2024): 44–49. http://dx.doi.org/10.21474/ijar01/19021.

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Introduction:Blunt trauma to the abdomen occurs due to forces that induce shearing, compression, or deceleration injuries, particularly affecting anatomical structures that are relatively immobile. The evaluation of abdominal injuries is challenging and often results in missed diagnoses due to the complexity of symptoms and the difficulty in identifying subtle signs of internal injury. Aims &amp; Objectives:To study the clinical presentation, evaluation, diagnostic investigations, and management strategies for various intra-abdominal organ injuries resulting from blunt trauma to the abdomen. M
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Tyburski, James G., Christopher J. Dente, Robert F. Wilson, Christina Shanti, Christopher P. Steffes, and Arthur Carlin. "Infectious Complications following Duodenal and/or Pancreatic Trauma." American Surgeon 67, no. 3 (2001): 227–31. http://dx.doi.org/10.1177/000313480106700305.

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Patients with pancreatic and/or duodenal trauma often have a high incidence of infectious complications. In this study we attempted to find the most important risk factors for these infections. A retrospective review of the records of 167 patients seen over 7 years (1989 through 1996) at an urban Level I trauma center for injury to the duodenum and/or pancreas was performed. Fifty-nine patients (35%) had isolated injury to the duodenum (13 blunt, 46 penetrating), 81 (49%) had isolated pancreatic trauma (18 blunt, 63 penetrating), and 27 (16%) had combined injuries (two blunt, 25 penetrating).
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Sahu, Rakesh Kumar, Sandeep Chandrakar, Rajendra Ratre, and Sujan Narayan Agrawal. "The study on the role of laparoscopy in the blunt abdominal trauma: a case series." International Surgery Journal 9, no. 3 (2022): 659. http://dx.doi.org/10.18203/2349-2902.isj20220639.

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The blunt trauma to the abdomen is the leading cause of mortality and morbidity in India and also worldwide. The young and productive age group are the main victims. The common causes of blunt injury to the abdomen are road traffic accidents, assault, fall from height and work-related injuries. Abdominal trauma is present in 7-10% of all trauma victims and in cases of severe trauma, it is often associated with orthopedic, thoracic or central nervous system injuries. Identification of serious intra-abdominal injuries is often challenging. Thus, a rapid and accurate diagnosis is mandatory. The d
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