Management of Complex Duodenal Injuries After Penetrating Trauma

Complex penetrating duodenal injuries: less is better.

BACKGROUND The traditional management of complex penetrating duodenal trauma (PDT) has been the use of elaborate temporizing and complex procedures such as the pyloric exclusion and duodenal diverticulization. We sought to determine whether a simplified surgical approach to the management of complex PDT injuries improves clinical outcome. METHODS A retrospective review of all consecutive PDT ...

Isolated Duodenal Injuries After Blunt Abdominal Trauma.

Isolated duodenal injury after blunt abdominal trauma is a very rare entity. In contrast to penetrating injuries, duodenal injuries after blunt trauma are difficult to diagnose. Early diagnosis and management is required to prevent high morbidity and mortality associated with these injuries. We present three young patients of blunt abdominal trauma with an isolated injury to duodenum in which p...

Management of vertebral artery injuries following non-penetrating cervical trauma.

• Conventional catheter angiography is recommended for the diagnosis of VAI in selected patients after blunt cervical trauma, particularly if concurrent endovascular therapy is a potential consideration, and can be undertaken in circumstances in which CTA is not available. • Magnetic resonance imaging is recommended for the diagnosis of VAI after blunt cervical trauma in patients with a complet...

Rectal penetrating injuries from blast trauma.

Pediatric spine injuries after trauma: a review of 43 cases

  Abstract   Objective: To evaluate and review our experience with pediatric spinal injuries and   factors affecting outcome, the authors conducted a retrospective clinical study of 43   cases (32 boys, 11 girls) of pediatric spine injuries treated during four years (January   1999 to December 2003).   Methods: Forty-three children with spinal injuries were studied retrospectively   over four y...