Prevention and Management of Infections Associated With Combat-Related Thoracic and Abdominal Cavity Injuries

2008 ◽  
Vol 64 (Supplement) ◽  
pp. S257-S264 ◽  
Author(s):  
Nicholas G. Conger ◽  
Michael L. Landrum ◽  
Donald H. Jenkins ◽  
R Russell Martin ◽  
James R. Dunne ◽  
...  
1992 ◽  
Vol 72 (2) ◽  
pp. 568-574 ◽  
Author(s):  
O. Lichtenstein ◽  
S. A. Ben-Haim ◽  
G. M. Saidel ◽  
U. Dinnar

We analyzed three different assumptions about diaphragm function that determine the thoracoabdominal interaction. In the simplest case, the diaphragm is assumed to be a completely flaccid membrane serving only to partition the thorax and the abdominal cavity. In the second case, it is assumed to have a finite tension but to maintain a relatively flat surface at the base of the rib cage (i.e., a negligible zone of apposition). In the general case, it is assumed that the diaphragm has finite tension and its position may vary (i.e., permitting a zone of apposition). These possible modes of behavior are incorporated into a mathematical model of ventilatory system mechanics that distinguishes the diaphragm, lung, abdomen, and rib cage. The significance of these modes is examined with respect to data from human experiments in which gas or liquid is introduced into the pleural or abdominal spaces, causing a volume change (Vep). We show that the Vep effect on the thoracic and abdominal volumes is sensitive to diaphragm mechanics and depends on the nature of the Vep: gastric distension (with water or air) or pneumothorax. Only the behavior of the general model is consistent with physiological observations, especially the distribution of Vep. Our general mathematical model can quantitatively predict this behavior.


2011 ◽  
Vol 71 ◽  
pp. S270-S281 ◽  
Author(s):  
Gregory J. Martin ◽  
James R. Dunne ◽  
John M. Cho ◽  
Joseph S. Solomkin

2012 ◽  
Vol 42 (5) ◽  
pp. 607-612 ◽  
Author(s):  
Courtney Watkins ◽  
Boel A. Fransson ◽  
Claude A. Ragle ◽  
John Mattoon ◽  
John M. Gay

2019 ◽  
pp. 31-35
Author(s):  
Abalihin ◽  
Krjuchkova ◽  
Sokolov

Most members of the Mustelidae family living in the Central Non-Black Earth Region of Russia are the objects of sport and commercial hunting. Some of them are bred in fur farms (mink, polecat) and kept at home as decorative animals. The close contact of a person with various members of the family of mustelids, which increase with the development of urbanization processes, makes significant role of mustelids as sources of dangerous invasions for humans and animals (trichinosis, echinococcosis, etc.). We examined 48 ferrets, 107 American minks, 25 European minks, and 11 otters in order to determine the species composition of animal parasites, in the period 2000–2018. They were examined according to methods commonly used in parasitology about muscle tissue, internal organs, and thoracic and abdominal cavity. Animals for research were obtained from hunters from the Central region of the Russian Federation. Studies have shown that ferrets are invased with 8 species of parasites belonging to two classes: Trematoda (3 species) and Nematoda (5 species). The parasitic fauna of the minks was represented by 15 species of worms: Trematoda (2 species), Cestoda (1 species), Nematoda (12 species). The American mink is infested with 14 helminth species and the European mink with 11 species. Otters were infested with 2 classes of parasites: Trematoda (1 species) and Nematoda (1 species). We explain the high contamination of ferrets and minks of E. perfoliatus by the constant presence of animals at the reservoirs where the intermediate owners of helminths (fish) live. Also, a significant proportion in the diet of many species of weasels are tailless amphibians (frogs), which explains the infection of semi-aquatic animals with an unusual species of trematodes Alaria alata (larvae).


2018 ◽  
Vol 96 (1) ◽  
pp. 49-54
Author(s):  
Nikolay A. Kuznetsov

The article is devoted to the problem of prognostication in planned surgery. In the course of stratification of operational risk, 16 perioperative prognostic criteria were identified, the formula of individual quantitative prognosis of planned operations in patients with benign and malignant diseases of the thoracic and abdominal cavity organs was developed, 5 types of operational prognosis were formulated. The described feature of the decision-making about the operation of the "problem" patients - shown to be prognostic indicators of high perioperative mortality should be regarded not as a pretext for refusing the operation, and as an incentive for carrying out an adequate preoperative therapy.


2020 ◽  
Author(s):  
Yun-jin Wang ◽  
Liu Chen ◽  
Chao-ming Zhou ◽  
zhengmian zhang

Abstract Background:Congenital diaphragmatic hernia(CDH) is an embryonic stage in which the abdominal organs enter the thoracic cavity under the action of pressure difference between the thoracic and abdominal cavity, resulting in pulmonary hypoplasia due to the dysplasia of the diaphragm and the failure to heal the posterolateral pleura and peritoneum during the development of the diaphragm.Case presentation: A 7-month-old girl was admitted to hospital with the chief complaint of repeated vomiting for 1 day. Diagnosis was established by chest and abdominal radiographs and computerized tomography(CT). During the operation, it was found that there were many contents of intrathoracic hernia, and the hernia sac orifice was small. It was difficult to return them by thoracoscopy,then they were transferred to laparoscopic-assisted content return of diaphragmatic hernia.The patient had a good postoperative result.Conclusion: This is a very rare case of Congenital diaphragmatic hernia with small hernia sac orifice, and it emphasizes the significance of preoperative computerized tomography.


1980 ◽  
Vol 61 (4) ◽  
pp. 74-75
Author(s):  
Z. M. Sigal ◽  
I. V. Ryabov

The device modified by the authors allows you to measure the maximum and minimum arterial and venous pressure, as well as to examine the blood flow in extraorganic vessels during operations. The objects of investigation can be the vessels of the extremities, organs of the thoracic and abdominal cavity, neck, etc. The effect is provided by the transparent upper wall of the pneumatic chamber and transillumination, carried out using a miniature light source built into the opposite plate.


Author(s):  
Ederson dos SANTOS ◽  
Ana Luiza KALB ◽  
Antônio Amaral BARBOSA ◽  
Viviane Rohrig RABASSA ◽  
Marcio Nunes CORRÊA

ABSTRACT The present study describes a case report in sheep with multicentric lymphoma. Clinical examination revealed the animal presented tachycardia, tachypnea, congested ocular mucous membranes, fever, cachexia, mild dehydration, decreased ruminal motility, difficulty in standing, and dysuria. Supportive treatment and complementary examination (complete blood count, radiography, ultrasound and abdominocentesis) were performed. The results showed neutrophilic leukocytosis, persistent lymphocytosis, exudate with high cell concentration, and imaging examination showed abundant fluid in the abdominal cavity, and enlarged iliac and mesenteric lymph nodes. Due to the severe clinical condition, the animal died and referred for necropsy. Samples from different organs were collected for histopathological analysis. At necropsy, abundant light brown exudate was observed in the thoracic and abdominal cavities, multiple white lobulated masses in different organs, in addition to pink, irregular, multifocal and coalescent nodules in the omentum, with neoplastic cells arranged in cords and cloak of cells supported by a thin fibrovascular stroma. Macroscopic and microscopic findings are characteristic of multicentric lymphoma.


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