Abdominal Complications And Clinical Course Complications Of Traumatic Disease In Patients With Blunt Severe Combined Abdominal Trauma

2014 ◽  
Vol 13 (3) ◽  
pp. 20-22
Author(s):  
I. R. Trutiak
Keyword(s):  
Abdominal Trauma ◽  
Clinical Course ◽  
Abdominal Complications

scholarly journals FAST as a predictor of clinical outcome in blunt abdominal trauma

2011 ◽  
Vol 15 (4) ◽  
pp. 108 ◽  
Author(s):  
Benjamin M Terry ◽  
David Blehar ◽  
Romolo Gaspari ◽  
Arthur Thomas Maydell ◽  
Fourie Abraham Bezuidenhout ◽  
...  
Keyword(s):  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Clinical Course ◽  
Free Fluid ◽  
Abdominal Sonography ◽  
Ultrasound Findings ◽  
All Cause Mortality ◽  
Trauma Triage ◽  
Operative Findings

Background. Peer-reviewed literature demonstrates increasing support for the use of focused abdominal sonography in trauma (FAST) in the setting of blunt trauma, one study demonstrating the sensitivity and specificity of FAST for the detection of free fluid to be 0.64 - 0.98 and 0.86 - 1.00, respectively, compared with abdominal CT. Utilising ultrasound in trauma triage increases efficiency and cost-effectiveness and reduces reliance on CT, compared with using CT alone. There is little evidence to support relying solely on a negative FAST and physical examination for patient management. Method. A retrospective descriptive study of 172 adult patients who received FAST for the evaluation of blunt abdominal trauma between 22 July 2007 and 21 January 2008 at Tygerberg Hospital was performed. Ultrasound findings were correlated with CT scan findings, operative findings if managed surgically, clinical outcomes whether managed surgically or conservatively, as well as postmortem findings in deceased patients. Results. FAST was negative in 147 (85.5%) patients. Twenty-four (16.3%) of these patients died from all-cause mortality, none of which was due to intra-abdominal injury. Seven patients with negative FAST underwent CT scan owing to change in clinical course, and 3 patients with negative FAST underwent laparotomy owing to change in clinical course, with positive findings in 2 patients – a bowel injury requiring resection (not seen on CT) and a diaphragmatic rupture seen on CXR. A negative FAST was shown to be an excellent predictor for the absence of significant intra-abdominal trauma. The mortality rate among 25 FAST positive patients was 24% (N=6). Only one of these patients (with a splenic rupture) was suspected to have died from abdominal pathology.

scholarly journals Evaluation of Risk Factors for Septic Complications after Laparotomy for Abdominal Trauma: A Longitudinal Cohort Study

2021 ◽  
Author(s):  
Rajan Prasad Gupta ◽  
Arun Kumar Gupta ◽  
Nikhil Gupta ◽  
Raghav Yelamanchi ◽  
Lalit Kumar Bansal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Abdominal Trauma ◽  
Trauma Patients ◽  
Associated Injuries ◽  
Septic Complications ◽  
Longitudinal Cohort ◽  
Abdominal Complications ◽  
Icu Stay ◽  
Prospective Longitudinal

Introduction: Septic complications are the most common cause of death in trauma patients who survive beyond 48 hours. Early diagnosis and treatment of infectious complications is essential to prevent life-threatening complications like Systemic Inflammatory Response Syndrome (SIRS) and Multi-Organ Dysfunction Syndrome (MODS). Aim: To study the various risk factors for septic abdominal complications following laparotomy for trauma. Materials and Methods: A prospective longitudinal cohort single-center study was conducted from November 2016 to March 2018. Sixty patients above the age of 12 years, who underwent laparotomy for abdominal trauma in the Surgical Department of our hospital, were included in the study. Various patient variables were compared with postoperative septic abdominal complications like wound infection, wound dehiscence, anastomotic leak and intra-abdominal abscess. Data was analysed using Statistical Package for Social Sciences (SPSS) version 21.0. Results: In the total 60 patients (35.60±16.54), significant association was seen between wound infection and dehiscence with the time interval between trauma and surgery (p<0.001), lesser Revised Trauma Score (RTS) (p<0.001) and greater Injur Severity Score (ISS) (p<0.001). A significant association of all septic complications was seen with the need for Intensive Care Unit (ICU) stay (p<0.001) and the presence of associated injuries (p<0.001). Variables such as age, gender, co morbidities, Body Mass Index (BMI), pre-hospital care received, intraoperative findings and duration of ICU stay had no association with outcomes (p>0.05). Conclusion: In trauma patients, factors like low RTS score, high ISS score, need for ICU stay and the presence of associated injuries may help the surgeons to decide in which patients to go for techniques like delayed closure of the wound, stoma instead of bowel anastomosis, etc., which may help to reduce postoperative septic complications.

Readmission with Major Abdominal Complications after Penetrating Abdominal Trauma

2019 ◽  
Vol 229 (4) ◽  
pp. S307-S308
Author(s):  
Kamil Hanna ◽  
Zaid Haddadin ◽  
Michael Ditillo ◽  
Mohammad K. Hamidi ◽  
Terence O'Keeffe ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Penetrating Abdominal Trauma ◽  
Abdominal Complications

Readmission With Major Abdominal Complications After Penetrating Abdominal Trauma

2021 ◽  
Vol 257 ◽  
pp. 69-78
Author(s):  
Kamil Hanna ◽  
Samer Asmar ◽  
Michael Ditillo ◽  
Mohamad Chehab ◽  
Muhammad Khurrum ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Penetrating Abdominal Trauma ◽  
Abdominal Complications

Epidemic Hepatitis: Prolonged Observation on the Clinical Course With Liver Biopsy Studies

1951 ◽  
Vol 19 (4) ◽  
pp. 755-776 ◽  
Author(s):  
A.W. Barile ◽  
J.T. Taguchi ◽  
S.N. Maimon
Keyword(s):  
Liver Biopsy ◽  
Clinical Course ◽  
Prolonged Observation ◽  
Epidemic Hepatitis

74: How Septic is Urosepsis? Treatment and Clinical Course of Infected Hydronephrosis

2005 ◽  
Vol 173 (4S) ◽  
pp. 21-21
Author(s):  
Frank Christoph ◽  
Steffen Weikert ◽  
Markus Müller ◽  
Kurt Miller
Keyword(s):  
Clinical Course ◽  
Infected Hydronephrosis
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