Authors' reply: The impact of published recommendations on the management of penetrating abdominal injury (Br J Surg 2008; 95: 515–521)

AbstractAimsTo identify the prevalence, injury patterns and mortality of penetrating abdominal injury in patients treated at the UK Role 3 Medical Treatment Facility (MTF) in Camp Bastion, Afghanistan.MethodsAll patients with a penetrating abdominal injury were identified from the UK Joint Theatre Trauma Registry (JTTR). Demographics, predicted survival and observed mortality were compared. Sub-group analyses of UK military patients were conducted, comparing changes in survival as the campaign progressed and identifying the anatomical distribution of abdominal injuries.ResultsBetween June 2006 and June 2013, 1331 of the 8558 (16%) patients recorded on the JTTR had a penetrating abdominal injury; 393 were UK military, of whom 175 (45%) survived. 71% of UK military fatalities had the maximum New Injury Severity Score (NISS) of 75 compared to 4.6% of UK military survivors. The survival rate of UK military patients increased in the later stages of the campaign. Fatal injury in UK military patients was associated with significant vascular or hepatic injuries.ConclusionsThis study has defined the epidemiology of penetrating abdominal injury in a modern conflict. Continued training and further research into injury prevention and management will help to ensure that the improved outcomes observed in Afghanistan continue on future operations.

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Penetrating Abdominal Injury (Case 36)

Surgery: A Competency-Based Companion ◽

10.1016/b978-1-4160-3747-7.50066-6 ◽

2009 ◽

pp. 417-423

Author(s):

Mark J. Seamon ◽

Brian P. Smith

Keyword(s):

Abdominal Injury ◽

Penetrating Abdominal Injury

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Intrahepatic pseudoaneurysm following penetrating abdominal injury: Surgical and endovascular management of 2 complicated cases

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2020.05.017 ◽

2020 ◽

Vol 71 ◽

pp. 250-256

Author(s):

Laila H. AbuAleid ◽

Khaled Elshaar ◽

Almoaiad A. Alhazmi ◽

Mohammed Al Sherbini ◽

Khalid Albohiri

Keyword(s):

Abdominal Injury ◽

Endovascular Management ◽

Penetrating Abdominal Injury

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THE EFFECTIVENESS OF THE COMPONENT IMPACT TEST METHOD FOR THE SIDE IMPACT INJURY ASSESSMENT OF THE DOOR TRIM

International Journal of Modern Physics B ◽

10.1142/s0217979208047390 ◽

2008 ◽

Vol 22 (09n11) ◽

pp. 1766-1773

Author(s):

YOUNGHAN YOUN ◽

JEONG-SEO KOO

Keyword(s):

Impact Test ◽

Reaction Force ◽

Design Guidelines ◽

Test Method ◽

Abdominal Injury ◽

Side Impact ◽

Crash Test ◽

Conservation Of Energy ◽

Absorption Energy ◽

The Impact

The complete evaluation of the side vehicle structure and the occupant protection is only possible by means of the full scale side impact crash test. But, auto part manufacturers such as door trim makers can not conduct the test especially when the vehicle is under the developing process. The main objective of this study is to obtain the design guidelines by a simple component level impact test. The relationship between the target absorption energy and impactor speed were examined using the energy absorbed by the door trim. Since each different vehicle type required different energy levels on the door trim. A simple impact test method was developed to estimate abdominal injury by measuring reaction force of the impactor. The reaction force will be converted to a certain level of the energy by the proposed formula. The target of absorption energy for door trim only and the impact speed of simple impactor are derived theoretically based on the conservation of energy. With calculated speed of dummy and the effective mass of abdomen, the energy allocated in the abdomen area of door trim was calculated. The impactor speed can be calculated based on the equivalent energy of door trim absorbed during the full crash test. With the proposed design procedure for the door trim by a simple impact test method was demonstrated to evaluate the abdominal injury. This paper describes a study that was conducted to determine sensitivity of several design factors for reducing abdominal injury values using the matrix of orthogonal array method. In conclusion, with theoretical considerations and empirical test data, the main objective, standardization of door trim design using the simple impact test method was established.

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