scholarly journals Surgical Management of Vascular Trauma From Dog Bites: The 10-year Experience of a Level I Trauma Center

2012 ◽  
Vol 56 (4) ◽  
pp. 1190
Author(s):  
A. George Akingba ◽  
Brian Rapp ◽  
Anthony Tsai ◽  
Andrea L. Jester ◽  
Andres Fajardo ◽  
...  
Keyword(s):  
Surgical Management ◽  
Trauma Center ◽  
Vascular Trauma ◽  
Dog Bites ◽  
Level I

Vascular trauma in Colombia: Experience of a level i trauma center in medellín

2002 ◽  
Vol 82 (1) ◽  
pp. 195-210 ◽  
Author(s):  
Carlos H Morales-Uribe ◽  
Alvaro E Sanabria-Quiroga ◽  
Juan M Sierra-Jones
Keyword(s):  
Trauma Center ◽  
Vascular Trauma ◽  
Level I

Torso Vascular Trauma at an Urban Level I Trauma Center

2006 ◽  
Vol 18 (2) ◽  
pp. 102-112 ◽  
Author(s):  
T. J. Goaley ◽  
C. J. Dente ◽  
D. V. Feliciano
Keyword(s):  
Trauma Center ◽  
Vascular Trauma ◽  
Urban Level ◽  
Level I

Dog Bites And Vascular Injury: A Retrospective Review From A Level I Trauma Center

2011 ◽  
Vol 165 (2) ◽  
pp. 343
Author(s):  
B.M. Rapp ◽  
A. Tsai ◽  
A.L. Jester ◽  
A. Fajardo ◽  
G.W. Lemmon ◽  
...  
Keyword(s):  
Vascular Injury ◽  
Retrospective Review ◽  
Trauma Center ◽  
Dog Bites ◽  
Level I

CT Angiography Effectively Evaluates Extremity Vascular Trauma

2008 ◽  
Vol 74 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Peter D. Peng ◽  
David A. Spain ◽  
Monika Tataria ◽  
Jeffrey C. Hellinger ◽  
Geoffrey D. Rubin ◽  
...  
Keyword(s):  
Trauma Center ◽  
Imaging Modality ◽  
Arterial Injury ◽  
Computed Tomographic Angiography ◽  
Vascular Trauma ◽  
Vascular Imaging ◽  
Vascular Injuries ◽  
Peripheral Vascular ◽  
Diagnostic Modality ◽  
Level I

Traditionally, conventional arteriography is the diagnostic modality of choice to evaluate for arterial injury. Recent technological advances have resulted in multidetector, fine resolution computed tomographic angiography (CTA). This study examines CTA for evaluation of extremity vascular trauma compared with conventional arteriography. Our hypothesis is that CTA provides accurate and timely diagnosis of peripheral vascular injuries and challenges the gold standard of arteriogram. Traumatic extremity injuries over a 5-year period were identified using a Level I trauma center registry and radiology database. Information collected included patient demographics, mechanism, imaging modality, vascular injuries, management, and follow-up. Two thousand two hundred and fifty-one patients were identified with extremity trauma. Twenty-four patients were taken directly to the operating room for evaluation and management of vascular injuries. Fifty-two underwent vascular imaging. Fourteen patients had conventional arteriograms with 13 abnormal studies: 7 were managed operatively, 2 embolized, and 4 observed. Thirty-eight patients underwent CTA with 17 abnormal scans: 9 were managed operatively, 3 embolized, and 5 observed. There were no false negatives or missed injuries. CTA provides accurate peripheral vascular imaging while additionally offering advantages of noninvasiveness and immediate availability. Secondary to these advantages, CTA has supplanted arteriography for initial radio-graphic evaluation of peripheral vascular injuries at our Level I trauma center. This study supports CTA as an effective alternative to conventional arteriography in assessing extremity vascular trauma.

scholarly journals Multivariate analysis of early surgical management factors affecting posttraumatic penoscrotal avulsion injury: a level I trauma center study

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min Ji Kim ◽  
Dong Hwan Lee ◽  
Dong Ha Park ◽  
Il Jae Lee
Keyword(s):  
Surgical Treatment ◽  
Scale Score ◽  
Surgical Management ◽  
Trauma Center ◽  
Treatment Algorithm ◽  
Institutional Review Board ◽  
Comprehensive Treatment ◽  
Institutional Review ◽  
Braden Scale ◽  
Level I

Abstract Background To conduct an accurate evaluation of patients presenting with posttraumatic penoscrotal injuries, and to formulate a treatment algorithm based on this assessment. Methods We conducted a retrospective chart review study. Patients with penoscrotal defects admitted to our level I trauma center from 2017 to 2019 were evaluated. The Braden scale score was used for wound evaluation and the Korean patient classification system (KPCS) was used for assessment of severity. Univariate and multivariate analyses were performed for potential risk factors associated with early surgical management. Results In total, there were 58 male patients, and the average Braden scale score was 12.08 ± 2.54, with the scrotum (36.20%), and the penile shaft (32.76%) being popular sites for injuries. The wounds requiring surgical treatment were 20.68% (n = 12), with local flaps (33.33%) being most commonly used. The significant predictors of advanced wounds which required surgical treatment were old age (p = 0.026, odds ratio [OR] 8.238), orthopedic combined injuries (p = 0.044, OR 1.088), intubation (p = 0.018, OR 9.625), restraint (p = 0.036, OR 0.157) and blood transfusion (p < 0.001, OR 2.462). Conclusion In multiple trauma patients, penoscrotal defects caused by high-speed trauma are an important matter of concern. Specifically, patients with combined skeletal injuries or requiring respiratory care were prone to advanced wounds. We proposed a five-category algorithm to manage such patients, which included severity of the patient’s condition, respiration, hemodynamic status, comorbidity, and immobilization. Additionally, inter-departmental cooperation and active intervention by plastic surgeons is needed for the comprehensive treatment of such injuries. Trial registration This study was performed in line with the principles of the Declaration of Helsinki. The study and all its protocols were approved by the institutional review board of Ajou Medical Center (approval no. AJIRB-MED-MDB-17-254). The need for informed consent was waived by the institutional review board of our hospital due to the retrospective design of the study.

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