scholarly journals Isolated Pancreatic Injury Diagnosed Seven Months After Thoracoabdominal Trauma

2021 ◽  
Vol 10 (2) ◽  
pp. 413-416
Author(s):  
E. O. Inozemtsev ◽  
E. G. Grigoryev ◽  
A. I. Panasyuk ◽  
S. A. Kondrat’ev
Keyword(s):  
Abdominal Cavity ◽  
Pancreatic Injury ◽  
Steering Wheel ◽  
Factors Affecting ◽  
Traumatic Injuries ◽  
Results Of Treatment ◽  
Time Gap ◽  
Isolated Pancreatic Injury ◽  
Resection Of The Pancreas ◽  
Traumatic Incident

We present a case of a closed thoracoabdominal trauma with pancreatic rupture. Closed abdominal trauma is one of the main causes for urgent hospitalization and emergency surgery. Injury of pancreatic ductal system is noted for the most severe course because of complications caused by outflow of the pancreatic juice into the retroperitoneal fat and the free abdominal cavity. One of the main factors affecting the efficacy of treatment is the time gap between a traumatic incident and hospitalization with subsequent surgical treatment. We report the results of management of a 53-year-old patient with closed thoracoabdominal injury and incomplete rupture of the pancreas, diagnosed 6 months after the “steering wheel” trauma. The injury was diagnosed with radiation techniques. Surgery included laparotomy, corporocaudal resection of the pancreas with splenectomy. The incidence of pancreatic traumatic injuries and the results of treatment are the matters for discussion. 

scholarly journals DIAGNOSIS OF CONJUGATED ABDOMINAL LESIONS IN PANCREATIC INJURY

2020 ◽  
pp. 77-80
Author(s):  
N. M. Нoncharova ◽  
S. M. Teslenko
Keyword(s):  
Abdominal Cavity ◽  
Abdominal Ultrasound ◽  
Pancreatic Injury ◽  
Diagnostic Value ◽  
Anatomical Location ◽  
Traumatic Injuries ◽  
Abdominal Organs ◽  
Immediate Surgery ◽  
Abdominal Lesions ◽  
Abdominal Ultrasound Examination

Summary. Resume. Traumatic injuries of the pancreas by the difficulty in diagnosis and choice of method of therapeutic tactics are some of the most difficult among traumatic lesions of the abdominal organs. The goal of the work. Improvement of results of diagnostics of the combined damages of an abdominal cavity at a trauma of a pancreas Materials and methods. The work is based on the analysis of the results of the examination and surgical treatment of 220 patients with combined damage of the abdominal organs with software trauma from 2000 to 2019. Results and discussion. The features of the topographic-anatomical location of the pancreas more explain the absence of pathognomonic symptoms, the severity of the clinical picture in its trauma. Among 220 patients with combined trauma, 148 (67.3 %) patients were used for diagnostic abdominal ultrasound examination, 52 (23.6 %) ultrasound, and 20 (9.1 %) diagnostic laparoscopy. Conclusions. Screening in patients with “futile” laparotomy has found that the diagnostic value of each method studied is far from optimal and does not allow confirming with confidence or canceling the presence of lesions of the abdominal organs requiring immediate surgery.

scholarly journals Blunt trauma – related isolated pancreatic injury

2013 ◽  
Vol 114 (09) ◽  
pp. 519-522 ◽  
Author(s):  
A. Onder ◽  
M. Kapan ◽  
G. Tekbas ◽  
Z. Arikanoglu ◽  
I. Aliosmanoglu ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Pancreatic Injury ◽  
Isolated Pancreatic Injury

scholarly journals CURRENT ASPECTS OF DIAGNOSTICS AND TREATMENT OF ACUTE BILLARIAN PANCREATITIS

2018 ◽  
Vol 14 (3-4) ◽  
pp. 74-79
Author(s):  
I.V. Kolosovych ◽  
B.H. Bezrodnyi ◽  
I.V. Hanol
Keyword(s):  
Acute Pancreatitis ◽  
Length Of Stay ◽  
Comparison Group ◽  
Abdominal Cavity ◽  
Main Group ◽  
Duct System ◽  
Results Of Treatment ◽  
Positive Clinical Effect ◽  
Number Of Patients ◽  
Comparative Group

Relevance. The article is devoted to the problem of diagnosis and treatment of acute biliary pancreatitis, which remains one of the most common surgical diseases of the abdominal cavity and accounts for 33.2% of the total number of patients with acute pancreatitis. Objective of the work is to improve the diagnosis and results of surgical treatment of patients with acute pancreatitis of biliary etiology. Materials and methods. The results of treatment of 264 patients with acute pancreatitis of biliary etiology are analyzed. Operative treatment was applied in 92 (34,8 %) patients: endoscopic operations were performed in 44 patients (16,7 %). Thus, in 10 (3,8 %) patients, endoscopic papilloprotectomy was performed with the auditory of the duct system and the extraction of concrements. In other cases, organo-preserving intervention was performed without disturbing the morphofunctional integrity of the sphincter apparatus of the duct system: the cannulation in 6 (2,3%) patients, mechanical (balloon) in 5 (1,9 %) cases, pharmacological (myogenic antispasmodic) dilatation of distal duct and a large duodenal papilla in 11 (4,2 %) patients. In residual choledocholithiasis, a technique of papillotomy under the control of choledochoscopy was proposed – 12 (4,54 %) patients. A comparative analysis of the effectiveness of the treatment of patients who used the "open" (comparative group) and noninvasive endoscopic interventions in the early disease (the main group) was performed. Results. So in the main group the length of stay in the hospital was 12±3,2 days, respectively, in the comparison group – 26±4,3 days. In 42 (95,4 %) patients who had undergone endoscopic surgery, a positive clinical effect, a rapid regress of the symptoms of acute pancreatitis was achieved. In two (4,5 %) patients in the main group, the course was complicated by the development of the abscess of the stuffing box, and puncture under ultrasound control was performed. In patients of the comparison group complications arose in 5 (41,6 %) patients, it is noteworthy that all of them had undergone operative interventions, which were limited only to the rehabilitation and drainage of the abdominal cavity, a stuffing box bag. The mortality rate among unopposed was 1,2 % (2 patients), and among the operated – 11,9 % (11 patients). Among prooperated patients who died, 81,8 % (9 people) were elderly patients. Conclusions. The use of minimally invasive endoscopic interventions in the early phase of the disease reduces the length of stay of patients in the hospital from 26±4,3 days (comparison group) to 12 3,2 days (main group) and the number of complications occurring by 37,1 % (P <0, 05). Application of the proposed method of papillotomy under the control of choledochoscopy makes it possible to reduce the risk of perforation of the wall of the duodenum with the development of peritonitis or retroperitoneal phlegmon by 1,2 % (P <0,05).

scholarly journals Septic complications in patients with neck wounds

2020 ◽  
Vol 84 (3) ◽  
pp. 64-66
Author(s):  
M.Yu. Sizyi
Keyword(s):  
Head And Neck ◽  
Social Conditions ◽  
Steady Increase ◽  
Neck Trauma ◽  
Septic Complications ◽  
Traumatic Injuries ◽  
Results Of Treatment ◽  
Car Accidents ◽  
The Social ◽  
Surgical Tactics

Nowadays, we have been a steady increase in injuries as the social conditions of life and have changed. Statistically found that 54.0 % of people of car accidents have injuries to the head and neck. According to the literature, mortality in patients with neck injury which is complicating by pyoinflammatory persists up to 30.0-76.0 %. The management of neck trauma can be challenging and sometimes overwhelming, as this anatomical region contains many vital structures. These structures may pose a diagnostic and therapeutic dilemma. Our research based on the results of diagnosis and treatment of 124 patients with a purulent mediastinitis, complicating traumatic injuries of the neck organs. Among these men – 92 (74.2 %), women – 32 (25.8 %). The results of treatment depend on timely diagnosis, hospitalization in a specialized compartment and conducting active surgical tactics

scholarly journals Results Of Treatment Of Acute Diffuse Purulent Peritonitis Using Laparostomy

2020 ◽  
Vol 02 (11) ◽  
pp. 66-71
Author(s):  
S. A. Ruziboev ◽  
◽  
A. A. Avazov ◽  
Sh. Kh. Sattarov ◽  
A. N. Elmuradov ◽  
...  
Keyword(s):  
Bacterial Translocation ◽  
Abdominal Cavity ◽  
Multiple Organ ◽  
The Body ◽  
Abdominal Pressure ◽  
Results Of Treatment ◽  
Abdominal Hypertension ◽  
Purulent Peritonitis ◽  
Intractable Problems ◽  
Cause Of Deaths

Currently, despite significant achievements in the field of surgery, anesthesiology and resuscitation, the results of treatment of patients with advanced purulent peritonitis remain one of the most intractable problems, almost every sixth patient with acute surgical diseases and injuries of the abdominal cavity is admitted to medical institutions with peritonitis [1,3] Common peritonitis in 17-29% complicates the course of most acute surgical diseases and is the main cause of deaths in surgical hospitals [3,7]. Lethality in advanced peritonitis remains extremely high and reaches 20-39% [1,2,4,5]. In recent decades, great importance has been attached to recording intra-abdominal pressure in purulent pathology of the abdominal cavity. It was found that intra-abdominal hypertension occurs in every third patient with acute surgical pathology and negatively affects the functioning of all organs and systems of the body [1,6,8]. Pathological changes that occur with acute and excessive increase in intra-abdominal pressure (IAP) are manifestations of abdominal compartment syndrome (ACS) with disorders of the cardiovascular system; urinary disorders, disorders of perfusion of internal organs and the development of intestinal ischemia, which contributes to bacterial translocation and endogenous infection [2,7,8]. Ischemic blood flow disorders of the splanchnic zone are fraught with the development of bacterial translocation and the development of systemic inflammatory response syndrome and multiple organ failure (PON). Unsatisfactoriness with such results gave rise to a fundamentally different approach to the surgical treatment of common forms of peritonitis-the introduction of an open abdominal management method based on the ideas of I. Mikulich (1881), Jean-Louis Faure (1928), N. S. Makoch (1984) and D. Steinberg (1979).

scholarly journals Diagnosis and surgical treatment of liver echinococcosis

2021 ◽  
Vol 26 (4) ◽  
pp. 113-117
Author(s):  
V.O. Shaprinskyi  ◽  
O.O. Vorovskyi ◽  
O.A. Kaminskyi ◽  
Ya.M. Pashynskyi
Keyword(s):  
Blood Loss ◽  
Pleural Cavity ◽  
Abdominal Cavity ◽  
Diagnostic Value ◽  
Results Of Treatment ◽  
Before And After ◽  
Residual Cavity ◽  
Right Lobe ◽  
The Right ◽  
Duration Of Operation

The results of treatment of 72 patients with echinococcosis of the liver were analyzed, women – 62 (86.2%), men – 10 (13.8%). Primary echinococcosis was detected in 69 (95.8%) patients, secondary – in 3 (4.2%). Among instrumental research methods, ultrasound and computed tomography examination were of diagnostic value. Single liver cysts were found in 63 (87.5%) patients, multiple – in 9 (12.5%). Among patients with solitary cysts, the right lobe was more often affected than the left – 48 (66.7%) vs 24 (33.3%) cases. Echinococcosis of central localization was less common and was noted in 8 (11.1%) cases. Echinococcosis complications were observed in 16 (22.2%) patients. Among them, most often there were suppurations of the cyst – in 13 (18.1%); a bursting of the cyst into the free abdominal cavity – in 1 (1.4%), in the pleural cavity – 1 (1.4%), in the biliary tract – in 1 (1.4%). Partial or complete liming of the hand was observed in 12 (16.7%) patients. In 20 (27.8%) cases, the operation was performed from the upper median access, in 42 (58.3%) – from oblique hypochondria accesses by Kocher or by Fedorov. Pericystectomy was performed in 48 (66.7%) patients, in 8 (11.1%) patients underwent resections of liver segments with an echinococcal cyst, in 4 (5.6%) – cyst opening with removal of contents and treatment of its cavity. Laparoscopic echinococectomy was used in 12 (16.7%) patients. In the postoperative period complications were observed in 16 (22.2%) patients. The use of the welding electrocoagulator EK-300M "Swarmed" in the thermal rehabilitation of the walls of the residual cavity after echinococectomy allowed to reduce blood loss from 2200±210 ml to 250±50 ml. With the use of laparoscopic echinococectomy, intraoperative blood loss was reduced by 9 times (р=0.0001); duration of operation – 2 times (р<0.05), stay in hospital – 3.3 times (р=0.002). There were no fatal outcomes. Before and after operation antirelapse antiparasitic therapy with albendazole (Vormil) was performed in two cycles of 28 days, separated by a 14-day break. The dose at body weight over 60 kg was 400 mg 2 times a day, and for less than 60 kg the drug was calculated at a rate of 15 mg/kg/day. There were 2 (2.8%) cases of relapse, there was no mortality.

TREATMENT OF MALIGNANT SYMPATHETIC TUMORS IN CHILDREN: CLINICOPATHOLOGICAL CORRELATION

PEDIATRICS ◽  
1968 ◽  
Vol 41 (2) ◽  
pp. 452-462
Author(s):  
Carlos A. Perez ◽  
Teresa J. Vietti ◽  
Lauren V. Ackerman ◽  
Panja Kulapongs ◽  
William E. Powers
Keyword(s):  
Distant Metastasis ◽  
Advanced Disease ◽  
Chemotherapeutic Agents ◽  
Primary Role ◽  
Clinicopathological Correlation ◽  
Cure Rate ◽  
Factors Affecting ◽  
Results Of Treatment ◽  
Methods Of Treatment

The results of treatment in a series of 46 children with malignant sympathetic tumors are reported with an absolute cure rate of 47% at 2 years and 46% at 5 years. Thirty-two percent of the patients with distant metastasis have survived tumor free 2 years or longer. Factors affecting the prognosis and the various methods of treatment are analyzed. Aggressive radiation therapy of these patients is advocated, depending on their clinical condition, even in the presence of distant metastasis. The primary role of irradiation in the sterilization of these malignant sympathetic tumors is postulated. Chemotherapy with cyclophosphamide and vincristine produced only transient regression of some of the tumors, with limited palliative results. The indication of chemotherapeutic agents is questioned in the treatment of patients with localized tumor because it is felt that this may impair the host resistance of the patient. Intensive chemotherapy may adversely affect survival, although admittedly all patients receiving this form of therapy had far advanced disease.

Reattachment of Fractured Mandibular Incisor using Fiber-reinforced Post in a 12-year-old Patient: A 3-year Follow-up

2015 ◽  
Vol 5 (3) ◽  
pp. 86-89
Author(s):  
Shanmugasundaram Karthikeyani ◽  
Velliangattur Ramasamy Thirumurthy ◽  
Yuvaraja Bindhoo
Keyword(s):  
Treatment Option ◽  
School Children ◽  
Central Incisor ◽  
Fiber Reinforced ◽  
Mandibular Incisor ◽  
Factors Affecting ◽  
Traumatic Injuries ◽  
Adhesive Dentistry ◽  
A New Technique

ABSTRACT The incidence of coronal fractures from traumatic injuries is high in school children and causes serious functional, esthetic and psychological problems. Dentists are confronted on a regular basis with their management. Reattachment of a fractured fragment, though not a new technique, is gaining interest as a treatment option. This is due to its advantages over other techniques and advancements in adhesive dentistry. This manuscript presents a 3-year follow-up of a case of complicated permanent mandibular central incisor fracture (no cases reported in literature), that was successfully treated by fragment reattachment using a fiber-reinforced post and discusses the factors affecting the success of reattachment technique. How to cite this article Karthikeyani S, Thirumurthy VR, Bindhoo Y. Reattachment of Fractured Mandibular Incisor using Fiber-reinforced Post in a 12-year-old Patient: A 3-year Follow-up. Int J Prosthodont Restor Dent 2015;5(3):86-89.

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