Surgical Treatment of Pancreatic Trauma in Children

Pancreatic trauma is rare from 0.2% to 12% of abdominal injuries, but presents a complex clinical problem due to the erased initial symptoms and the absence of specific clinical signs, which lead to late diagnosis and delay surgical treatment. The symptoms of pancreatic trauma are nonspecific and often masked by trauma to other organs. In this regard, this article separately considers the issues of radiation diagnostics (ultrasound examination, multispiral computed tomography, magnetic resonance cholangiopancreatography, retrograde cholangiopancreatography, laparoscopy) and the choice of tactics for the treatment of рancreatic trauma.

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Clinical course and pancreas parenchyma sparing surgical treatment of severe pancreatic trauma

Injury ◽

10.1016/j.injury.2020.03.045 ◽

2020 ◽

Vol 51 (9) ◽

pp. 1979-1986

Author(s):

S. Chikhladze ◽

D.A. Ruess ◽

J. Schoenberger ◽

S. Fichtner-Feigl ◽

J. Pratschke ◽

...

Keyword(s):

Surgical Treatment ◽

Clinical Course ◽

Pancreatic Trauma ◽

Parenchyma Sparing

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Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100116267 ◽

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.

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