scholarly journals CHALLENGES IN MANAGEMENT OF INTESTINAL PERFORATION BY BLUNT ABDOMINAL TRAUMA (URGENT SURGERY VERSUS CONSERVATIVE SURGERY)

2019 ◽  
Vol 7 (11) ◽  
pp. 297-302
Author(s):  
Ibrahim A.Heggy ◽  
Mostafa M. Khairy ◽  
Mahmoud Abdou yassin ◽  
Kamal Rabi Eid
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation ◽  
Conservative Surgery ◽  
Urgent Surgery

A Case Report of IIa Type Intestinal Perforation due to Blunt Abdominal Trauma

2005 ◽  
Vol 30 (5) ◽  
pp. 744-747
Author(s):  
Nobuhisa MATSUHASHI ◽  
Masataka ANDO ◽  
Toshiyuki MIYAHARA ◽  
Yasuyuki SUGIYAMA ◽  
Shinji OGURA
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation

scholarly journals Successful Kidney and Lung Transplantation From a Deceased Donor With Blunt Abdominal Trauma and Intestinal Perforation

2016 ◽  
Vol 2 (1) ◽  
pp. e55
Author(s):  
Tim C. van Smaalen ◽  
Christina Krikke ◽  
Jan Willem Haveman ◽  
L.W. Ernest van Heurn
Keyword(s):  
Lung Transplantation ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation ◽  
Deceased Donor

scholarly journals Laparoscopic treatment of mesenteric avulsion and intestinal perforation after blunt abdominal trauma: A report of a case

2020 ◽  
Vol 77 ◽  
pp. S116-S120
Author(s):  
Giuseppe Di Buono ◽  
Elisa Maienza ◽  
Salvatore Buscemi ◽  
Leonardo Gulotta ◽  
Giorgio Romano ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation ◽  
Laparoscopic Treatment

scholarly journals Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology

2015 ◽  
Vol 3 (1) ◽  
pp. 35-37 ◽  
Author(s):  
Chinwendu Onwubiko ◽  
Elliot C. Pennington ◽  
David P. Mooney ◽  
Russell W. Jennings
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation ◽  
Underlying Disease

scholarly journals Case of intestinal perforation by blunt abdominal trauma associated with left inguinal hernia

2012 ◽  
Vol 73 (6) ◽  
pp. 1582-1586
Author(s):  
Yasuo HAYASHIDANI ◽  
Yoshihiro KURISU ◽  
Shinnji AKAGI ◽  
Tomoko TANAKA ◽  
Naoto HADANO
Keyword(s):  
Inguinal Hernia ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation

scholarly journals No need for surgery? Patterns and outcomes of blunt abdominal trauma

2019 ◽  
Vol 4 (3) ◽  
pp. 100-107
Author(s):  
Maximilian Goedecke ◽  
Florian Kühn ◽  
Ioannis Stratos ◽  
Robin Vasan ◽  
Annette Pertschy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Intestinal Perforation ◽  
Injury Severity ◽  
Organ Injury ◽  
Free Fluid ◽  
Trauma Patients ◽  
Severe Injuries ◽  
Severity Of Injury

AbstractIntroductionThe management of a patient suffering from blunt abdominal trauma (BAT) remains a challenge for the emergency physician. Within the last few years, the standard therapy for hemodynamically stable patients with BAT has transitioned to a non-operative approach. The purpose of this study is to evaluate the outcome of patients with BAT and to determine the reasons for failure of non-operative management (NOM).Materials and methodsAnalysis of 176 consecutive patients treated for BAT was conducted in a German level 1 trauma center from 2004 to 2011. Abdominal injuries were classified according to the American Association for the Surgery of Trauma (AAST). Patients included were demonstrated to have objective abdominal trauma with either free fluid on focused assessment with sonography for trauma (FAST) or computed tomography (CT), or proven organ injury.ResultsPatients, 142 of 176 (80.7%), with BAT were initially managed non-operatively, with a success rate of 90%. The rates of NOM success were higher among those with less severe injuries; 100% with Abbreviated Injury Scale (AIS) of 1. In total, 125 patients (71.0%) were managed non-operatively, and 51 (29.0%) required surgical intervention. NOM failure occurred in 9.2% of the patients, the most common reason being initially undiagnosed intestinal perforation (46.2%). Positive correlation was identified (r = 0.512; p < 0.001) between the ISS (injury severity score) and the NACA (National Advisory Committee of Aeronautics) score. The delay in operation in NOM failure was 6 h in patients with underlying hepatic or splenic rupture and 34 h with intestinal perforation. The overall mortality of 5.1% was attributed especially to old age (p = 0.016), high severity of injury (p < 0.001), and greater need for blood transfusion (p < 0.001).ConclusionNOM was successful for the vast majority of blunt abdominal trauma patients, especially those with less severe injuries. NOM failure and operative delay were most commonly due to occult hollow viscus injury (HVI), the detection of which was achieved by close clinical observation and abdominal ultrasound in conjunction with monitoring for rising markers of infection and by multidetector computed tomography (MDCT) if additionally indicated. Based on this concept, the delay in operation in patients with NOM failure was short. This study underscores the feasibility and benefit of NOM in BAT.

Conservative surgery for pancreatic neck transection

2015 ◽  
Vol 87 (6) ◽  
Author(s):  
Divya Dahiya ◽  
Surinder Singh Rana ◽  
Lileswar Kaman ◽  
Arunanshu Behera
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Conservative Surgery ◽  
Pancreatic Injury ◽  
High Morbidity ◽  
Solid Organ ◽  
Lesser Sac ◽  
Pancreatic Neck ◽  
Isolated Pancreatic Injury ◽  
Immediate Surgery

AbstractPancreas is the fourth solid organ injured in blunt abdominal trauma. Isolated pancreatic injury is present in less than 1% of patients. As it is associated with high morbidity and mortality, management is controversial.Isolated pancreatic trauma cases with pancreatic neck transection following blunt abdominal trauma were analyzed. All these patients were treated with immediate surgery involving lesser sac drainage and feeding jejunostomy only.Authors conclude that lesser sac drainage can be used as an alternative to distal pancreatectomy or pancreaticojejunostomy or pancreaticogastrostomy.

BLUNT ABDOMINAL TRAUMA WITH HAEMOPERITONEUM TREATED BY EXPLORATORY LAPAROTOMY VERSUS ONLY ABDOMINAL DRAINAGE: A PROSPECTIVE AND COMPARATIVE STUDY.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Dhawal Panchal ◽  
Firdaus Dekhaiya ◽  
Harin Tailor
Keyword(s):  
Hospital Stay ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Exploratory Laparotomy ◽  
Blunt Injury ◽  
Abdominal Drainage ◽  
Duration Of Hospital Stay ◽  
Considerable Morbidity ◽  
Injured Patients

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied  which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords:  Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

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