Open Balloon Tamponade and Hepatic Angiography for Hemorrhage Control of Transhepatic Gunshot Wounds in a Hybrid Trauma Operating Room Environment

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Melike N Harfouche ◽  
Jonathan Morrison ◽  
Rishi Kundi ◽  
Joseph J DuBose ◽  
Thomas M Scalea
Keyword(s):  
Operating Room ◽  
Gunshot Wounds ◽  
Mortality Rates ◽  
Liver Trauma ◽  
Penetrating Injuries ◽  
Hybrid Operating Room ◽  
Hemorrhage Control ◽  
Balloon Tamponade ◽  
Hepatic Angiography ◽  
Hybrid Management

The management of high-grade liver trauma is challenging and mortality rates are high. Balloon tamponade is a valuable tool for control of transhepatic penetrating injuries. We report three cases of hybrid management of penetrating liver trauma with balloon tamponade and hepatic angiography in a hybrid operating room environment. The combination of balloon tamponade with hepatic angioembolization provides an enhanced approach for the management of these injuries. 

The Use of a Urinary Balloon Catheter to Control Hemorrhage From Penetrating Torso Trauma: A Single-Center Experience at a Major Inner-City Hospital Trauma Center

2020 ◽  
pp. 000313482094999
Author(s):  
Amber Himmler ◽  
Ignacio Luis Maria Calzetta ◽  
Andrea Potes ◽  
Juan Carlos Puyana ◽  
Guillermo Fabián Barillaro
Keyword(s):  
Injury Severity Score ◽  
Operating Room ◽  
Severity Score ◽  
Injury Severity ◽  
City Hospital ◽  
Hemorrhage Control ◽  
Cardiac Trauma ◽  
Balloon Tamponade ◽  
Torso Trauma ◽  
Trauma Bay

Introduction Use of a urinary catheter balloon tamponade (UCBT) in controlling traumatic hemorrhage is a frequently employed but infrequently described technique. We aim to discuss the experience of balloon tamponade as a bridge to definitive hemorrhage control in the operating room. Methods This is retrospective review at a single institution from January 2008 to December 2018. We identified patients with active bleeding from penetrating torso trauma in whom UCBT was used to tamponade bleeding. We used revised trauma score (RTS), injury severity score (ISS), and new trauma and injury severity score (TRISS) to quantify injury severity. All surviving patients required definitively hemorrhage control in the operating room. Primary endpoint was mortality at 24 hours and 30 days. Results Twenty-nine patients were managed with UCBT. Nine had hemorrhage controlled in the trauma bay, including 4 with neck trauma and 5 with cardiac trauma. Twenty patients had hemorrhage controlled in the operating room, including 15 with cardiac trauma and 5 with intra-abdominal hemorrhage. Mean RTS, ISS, and TRISS in this population were: 5.93, 19.31, and 83.78, respectively. Of the 9 patients treated in the trauma bay, 1 (11.1%) died in the first 24 hours and 2 died in the first 30 days (22.2%). Of the 20 patients treated in the operating room, 0 (0%) patients died in the first 24 hours and 3 died in the first 30 days (15.0%). Conclusion UCBT is an effective tool that can be used to stabilize and bridge an actively bleeding patient to definitive hemorrhage control in the operating room.

scholarly journals Hirursko lecenje povreda jetre - petogodisnje iskustvo

2010 ◽  
Vol 57 (4) ◽  
pp. 9-14
Author(s):  
Djordje Bajec ◽  
Dejan Radenkovic ◽  
Pavle Gregoric ◽  
Vasilije Jeremic ◽  
Vladimir Djukic ◽  
...  
Keyword(s):  
Penetrating Trauma ◽  
Gunshot Wounds ◽  
Mortality Rates ◽  
Liver Trauma ◽  
Organ Injury ◽  
Specific Complication ◽  
Liver Injuries ◽  
Severity Of Injury ◽  
Significant Difference ◽  
Methods Of Treatment

Due to improved methods of treatment and management of hemorrhage, the mortality from liver injuries has decreased significantly over the past few decades. In spite of that, liver injuries still represent diagnostic and therapeutic challenge. This retrospective study included 197 patients surgically treated because of trauma of the liver at The Clinic for Emergency Surgery, during the period 2004-2009. The results showed significant difference in mortality rates in cases of penetrating wounds compared to blunt trauma and gunshot wounds. The severity of injury evaluated by Organ Injury Scale was significantly higher in gunshot wounds compared to blunt and penetrating trauma. The correlation of severity of injuries and mortality rates showed that the mortality is significantly lower in patients with grade 1, 2, and 3 injuries compared to grades 4 and 5 (p=0.016). Specific complication rate was 28.4%, while mortality rate was 21.8%. The results reflect diagnostic and treatment problems, as well as the importance of multidisciplinary approach to the patients with liver trauma.

Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

2020 ◽  
pp. 000313482097339
Author(s):  
Christine A. Castater ◽  
Margo Carlin ◽  
Virginia D. Parker ◽  
Chris Sciarretta ◽  
Deepika Koganti ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Mortality Rates ◽  
Volume Resuscitation ◽  
Vascular Injuries ◽  
Trauma Centers ◽  
Review Of The Literature ◽  
Hemorrhage Control ◽  
Operative Strategies

Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged. This article conducts an in-depth review of the literature surrounding IVC injuries and a detailed discussion of operative strategies and management as survivability is ultimately dependent on the grade of injury, location, and the presence of hemorrhagic shock.

Neuroendovascular training using multisource video-recording system in a hybrid operating room

2021 ◽  
Author(s):  
Satoshi Koizumi ◽  
Masaaki Shojima ◽  
Shogo Dofuku ◽  
Akira Saito ◽  
Seiji Nomura ◽  
...  
Keyword(s):  
Operating Room ◽  
Video Recording ◽  
Recording System ◽  
Hybrid Operating Room

scholarly journals Hybrid operating room concept for combined diagnostics, intervention and surgery in acute type A dissection

2012 ◽  
Vol 43 (2) ◽  
pp. 397-404 ◽  
Author(s):  
K. Tsagakis ◽  
T. Konorza ◽  
D. S. Dohle ◽  
E. Kottenberg ◽  
T. Buck ◽  
...  
Keyword(s):  
Operating Room ◽  
Type A ◽  
Acute Type ◽  
Hybrid Operating Room ◽  
Acute Type A Dissection ◽  
Type A Dissection
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