Surgical treatment of colonic intramural haematoma secondary to penetrating trauma

2021 ◽  
Author(s):  
Susan Jacob ◽  
Andrew Kiat ◽  
Tony C. Y. Pang
Keyword(s):  
Surgical Treatment ◽  
Penetrating Trauma ◽  
Intramural Haematoma

Conservative Medical Management of Traumatic Pharyngoesophageal Perforations

1992 ◽  
Vol 101 (3) ◽  
pp. 209-215 ◽  
Author(s):  
Sanford R. Dolgin ◽  
Narendra R. Kumar ◽  
Thomas W. Wykoff ◽  
Anthony J. Maniglia
Keyword(s):  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Medical Management ◽  
Penetrating Trauma ◽  
Cost Effective ◽  
Oral Feeding ◽  
Management Approach ◽  
Intravenous Antibiotic ◽  
School Of Medicine ◽  
Selection Of

Traditionally, surgical treatment has been the acceptable management for perforation of the pharyngoesophageal tract secondary to blunt and penetrating trauma. From July 1983 to June 1990, we managed 10 patients with this type of lesion by a conservative medical management approach. Mirror or fiberoptic flexible laryngoscopy was performed in the majority of cases to ascertain the nature of the injury. An esophagogram is very helpful to locate and evaluate the extent of the injury. All patients were treated with broad-spectrum intravenous antibiotic therapy and no oral feeding. There were no complications or need for surgical treatment in any of the cases. The head and neck surgeon, in selected cases, should consider the possibility of using conservative management of pharyngoesophageal perforations. This approach has proven in our hands to be relatively safe and cost-effective, resulting in no disability or prolonged hospitalization of our patients. This study involves two institutions (two affiliated hospitals of Case Western Reserve University School of Medicine) with different surgeons selecting appropriate antibiotic therapy. It is a retrospective review. No controls were made by random selection of cases treated surgically. These cases, if not properly managed, may lead to fatal outcomes.

scholarly journals True aneurysm of common digital artery: Case report

2008 ◽  
Vol 136 (5-6) ◽  
pp. 289-291
Author(s):  
Dragoslav Nenezic ◽  
Predrag Matic ◽  
Nenad Ilijevski ◽  
Petar Popov ◽  
Predrag Gajin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Penetrating Trauma ◽  
Clinical Importance ◽  
Artery Aneurysm ◽  
Multislice Ct ◽  
Common Symptom ◽  
Digital Artery ◽  
True Aneurysm ◽  
Pulsatile Mass ◽  
The Common

INTRODUCTION Aneurysms of digital arteries are considered to be rarity. They could be true or false. False aneurysms are usually the result of penetrating trauma, while the causes of development of true aneurysms are various, such as blunt trauma, and rarely atherosclerosis, vasculitis and infection. Also, they can be idiopathic. Reviewing the literature we found 13 cases of previously described true aneurysms of digital arteries. None of them referred to the common digital artery aneurysm. CASE OUTLINE We report a case of an idiopathic true aneurysm of the common digital artery, with its clinical presentation and a corresponding multislice CT arteriogram. Surgical treatment by ligation and excision of the aneurysm was performed. CONCLUSION As mentioned above, true aneurysms of digital arteries are very rare, so they are of little clinical importance. The most common symptom of digital artery aneurysms is pain, with a tender pulsatile mass on examination. Since natural healing cannot be expected, surgical treatment of true digital artery aneurysms is recommended for pain relief and avoidance of complications which may occur and are related to the aneurysm presence. Aneurysm resection and ligation of a blood vessel can be performed. Also, artery reconstruction can be performed by primary end-to-end anastomosis or the placement of a reversed interposition vein graft.

scholarly journals Diagnostic and therapeutic approach to post-traumatic tracheobronchial injuries

2021 ◽  
Keyword(s):  
Surgical Treatment ◽  
Therapeutic Approach ◽  
Penetrating Trauma ◽  
Standard Technique ◽  
Emergency Setting ◽  
Results Of Treatment ◽  
Airway Trauma ◽  
Tracheobronchial Injuries ◽  
Post Traumatic ◽  
Endoscopic Assessment

Post-traumatic tracheobronchial lesions are associated with high mortality unless adequately diagnosed and treated. They may be caused by blunt and penetrating trauma, although iatrogenic lesions are also increasingly observed. An early and accurate diagnosis significantly impacts the results of treatment. Radiological assessment with computed tomography is highly accurate, but bronchoscopy remains the gold standard technique in the diagnosis of airway trauma and plays an important role in determining the therapeutic approach. For a long time, surgery has been considered the treatment of choice for post-traumatic airway lesions, but recent reports have shown that favourable results may also be obtained with a conservative approach, especially in the treatment of iatrogenic lesions. The indication for a conservative or surgical treatment has to be defined on the basis of a thorough clinical, radiological, and endoscopic assessment. Specific issues concerning airway management in the emergency setting and during surgical treatment must also be addressed. A multidisciplinary approach in a center with specific experience in the treatment of airway lesions is of utmost importance to obtain favourable results.

scholarly journals Surgical treatment in hepatic trauma: factors associated with hospitalization time

2021 ◽  
Vol 48 ◽  
Author(s):  
PAULA DE OLIVEIRA TRINTINALHA ◽  
EMANUELLA ROBERNA INÁ CIRINO ◽  
RENATA FERNANDA RAMOS MARCANTE ◽  
GABRIEL RAMOS JABUR ◽  
PATRÍCIA LONGHI BUSO
Keyword(s):  
Surgical Treatment ◽  
Hospital Stay ◽  
Penetrating Trauma ◽  
Length Of Hospital Stay ◽  
Hemodynamic Instability ◽  
Liver Trauma ◽  
University Hospital ◽  
Trauma Patients ◽  
Associated Injuries ◽  
Firearm Injury

ABSTRACT Objective: the aim of this study was to identify associated factors with the increased length of hospital stay for patients undergoing surgical treatment for liver trauma, and predictors of mortality as well as the epidemiology of this trauma. Methods: retrospective study of 191 patients admitted to the Cajuru University Hospital, a reference in the treatment of multiple trauma patients, between 2010 and 2017, with epidemiological, clinicopathological and therapeutic variables analyzed using the STATA version 15.0 program. Results: most of the included patients were men with a mean age of 29 years. Firearm injury represents the most common trauma mechanism. The right hepatic lobe was injured in 51.2% of the cases, and hepatorraphy was the most commonly used surgical correction. The length of hospital stay was an average of 11 (0-78) days and the length of stay in the intensive care unit was 5 (0-52) days. Predictors for longer hospital stay were the mechanisms of trauma, hemodynamic instability at admission, number of associated injuries, degree of liver damage and affected lobe, used surgical technique, presence of complications, need for reoperation and other surgical procedures. Mortality rate was 22.7%. Conclusions: the study corroborated the epidemiology reported by the literature. Greater severity of liver trauma and associated injuries characterize patients undergoing surgical treatment, who have increased hospital stay due to the penetrating trauma, hemodynamic instability, hepatic packaging, complications and reoperations.

scholarly journals Meningitis and Brain Abscess Due to Clostridium Perfringens And Clostridium Paraputrificum Following Orbital Trauma

1981 ◽  
Vol 8 (4) ◽  
pp. 309-311
Author(s):  
Yves Girouard ◽  
Gilles Delage ◽  
Jean-Pierre Mathieu ◽  
Albert Larbrisseau
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Surgical Treatment ◽  
Clostridium Perfringens ◽  
Penetrating Trauma ◽  
Review Of The Literature ◽  
Orbital Trauma ◽  
Purulent Meningitis ◽  
Clostridium Paraputrificum ◽  
Satisfactory Recovery

SUMMARY:An 8 year old boy developed cerebral abscess and purulent meningitis due to Clostridium perfringens and Clostridium paraputrificum after trauma to the left orbit. The patient made a satisfactory recovery with surgical treatment and antibiotic therapy. A review of the literature revealed that meningitis due to Clostridia is rare and usually related to penetrating trauma, and that penetrating trauma to the orbit is associated with significant central nervous system morbidity.

Penetrating trauma to the facial skeleton by pickaxe – case report

2016 ◽  
Vol 88 (1) ◽  
Author(s):  
Aneta Neskoromna-Jędrzejczak ◽  
Katarzyna Bogusiak ◽  
Aleksander Przygoński ◽  
Dariusz Timler
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Foreign Body ◽  
Penetrating Trauma ◽  
Treatment Method ◽  
Common Reason ◽  
Facial Skeleton ◽  
Orbital Cavity ◽  
The World ◽  
The Right

AbstractNumber of deaths related with injuries suffered as a result of experienced traumas is increasing. Penetrating traumas of the facial skeleton occur relatively rarely and much more often concern rather children than adults. Epidemiology relating this kind of trauma differs depending on the region of the world. In Poland, gunshot injuries as well as traumas caused by explosions of firecrackers or fireworks amount only to a slight percentage among all facial skeleton traumas, and the most common reason for penetrating traumas lies in accidents or assault with the use of sharp, narrow and long objects that easily enter bones of the facial skeleton.The present study reported the case of 50-year-old man who suffered from trauma of the facial skeleton, which resulted from foreign body (pickaxe) penetration into the subtemporal area, zygomatic arch and the right orbital cavity. The surgical treatment method and final outcome was presented and discussed.

scholarly journals Sepsis in Acute Mediastinitis – A Severe Complication after Oesophageal Perforations. A Review of the Literature

2019 ◽  
Vol 5 (2) ◽  
pp. 49-55 ◽  
Author(s):  
Mircea Mureșan ◽  
Simona Mureșan ◽  
Ioan Balmoș ◽  
Daniela Sala ◽  
Bogdan Suciu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Penetrating Trauma ◽  
Diagnostic Methods ◽  
Oesophageal Perforation ◽  
Endoscopic Stenting ◽  
Severe Condition ◽  
First Choice ◽  
Mediastinal Drainage ◽  
Thoracic And Abdominal ◽  
Acute Mediastinitis

AbstractBackgroundDespite recent advancements in antibiotic therapy and the progress made in critical care and modern diagnostic methods, acute mediastinitis continues to be a severe condition.Diagnosis and treatmentAcute mediastinitis can occur in the context of cardio-thoracic surgery, oesophageal perforations and oropharyngeal infections condition. Forty-five percent of oesophageal perforations occurs during simple endoscopy. Spontaneous perforation (Boerhaave syndrome) accounts for 15% of perforations, and twelve percent are due to the ingestion of foreign bodies. Other causes include blind or penetrating trauma, and circa 9% to intraoperative lesions. CT scan is the standard investigation that reveals direct signs of mediastinitis.The oral administration of contrast substances can underscore the level of oesophageal perforation. Conservative treatment is the first-choice treatment and surgical treatment is reserved only for specific situations.The principles of surgical treatment consist of drainage, primary suture, oesophageal exclusion with or without the application of oesophagectomy, endoscopic vacuum wound assisted therapy of the perforation and associated paraoesophageal mediastinal drainage and endoscopic stenting associated with drainage.ConclusionsThe lowest mortality rate is recorded in patients with perforations diagnosed less than twenty-four hours after the onset of symptoms. Surgical treatment remains the gold standard especially in cases of thoracic and abdominal perforations while further investigations are mandatory before endoscopic stenting is carried out.

Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

1975 ◽  
Vol 33 ◽  
pp. 528-529
Author(s):  
M.D. Graham
Keyword(s):  
Electron Microscope ◽  
Surgical Treatment ◽  
Scanning Electron Microscope ◽  
Osmic Acid ◽  
Human Cadaver ◽  
Electron Microscopic ◽  
Scanning Electron Microscopic ◽  
Normal Human ◽  
Microscopic Findings ◽  
Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

Surgical treatment of familial benign chronic pemphigus

1981 ◽  
Vol 117 (9) ◽  
pp. 540-542 ◽  
Author(s):  
C. P. Crotty
Keyword(s):  
Surgical Treatment
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