Management of penetrating neck injuries

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The evolving management of penetrating neck injuries.

The management of penetrating neck injuries has changed tremendously in the last 20 years. During the 1960s and 1970s the golden rule for such injuries was mandatory neck exploration. This policy became generally accepted because of the anatomical proximity of the neck to important structures, the potential of disastrous consequences, and previous military experience. However, experience in the...

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Penetrating abdominal injuries: management controversies

Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a m...

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Surgical management of penetrating pulmonary injuries

Chest injuries were reported as early as 3000 BC in the Edwin Smith Surgical Papyrus. Ancient Greek chronicles reveal that they had anatomic knowledge of the thoracic structures. Even in the ancient world, most of the therapeutic modalities for chest wounds and traumatic pulmonary injuries were developed during wartime. The majority of lung injuries can be managed non-operatively, but pulmonary...

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Penetrating neck injuries: the point of plain films

Plain films aid management and do not delay the emergency treatment of a stable patient with penetrating neck trauma in the resuscitation room and thus should be taken while arranging CT angiography.

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Color Doppler sonography in penetrating injuries of the neck.

PURPOSE To determine whether color Doppler sonography can be a sensitive alternative to screening arteriography for identifying arterial injury in patients with penetrating traumatic neck injuries. METHODS Fifty-two patients admitted to our trauma center with penetrating neck injuries (gunshot wounds and lacerations) were examined prospectively with color Doppler sonography, and findings were...

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2011

ISSN: 0007-1323,1365-2168

DOI: 10.1002/bjs.7733