Blunt Abdominal Trauma: Clinical Aspects and Diagnostic-therapeutic Strate- Gies

نویسندگان

  • GUIDO BASILE
  • GIUSEPPE EVOLA
  • MARTINA BRANCIFORTE
  • NANCY NICOLOSI
  • ALESSANDRA LEONARDI
  • ANTONINO BUFFONE
چکیده

Blunt abdominal traumas are caused by road accidents, work accidents, falls, assault and sporting activities. They may involve only the abdominal wall or deep organs (solid organs or hollow viscera, arterial or venous vessels). The most dangerous consequences are hypovolemia and peritonitis. Diagnostic investigations include laboratory tests, standard radiology, ultrasonography, diagnostic peritoneal lavage, C.T. scan, angio-C.T. and laparoscopy. Recently, the spread of ultrasound and C.T. in emergency departments has reduced the time to determine the number and the grade of abdominal lesions to only a few minutes, making the decision between an immediate surgical treatment and a conservative approach, with monitoring of clinical, laboratory and radiologic data of the patient, easier and quicker. With the aim of making the approach of the surgeons working in the same emergency department of making homogeneous and, at the same time, of shortening the diagnostic-therapeutic procedures of the patient with a blunt abdominal trauma, a decisional algorithm, of easy and prompt consultation, is presented. Finally, techniques of damage control surgery as well as the modalities of surgical repair and resections to treat different lesions of the abdominal organs are described.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Value of Urinalysis in Detection of Abdominal Organ Injuries in Children with Hematuria Following Blunt Abdominal Trauma; A Diagnostic Study

Background Currently, almost all patients with probable abdominal injury undergo urinalysis in emergency department (ED). The present survey was conducted with the aim of assessing the diagnostic values of urinalysis compare with abdominal computed tomography (CT) scan with contrast for predicting possible intra-abdominal injuries in children affected by blunt trauma. Materials and Methods: The...

متن کامل

Ultrasonography for the initial evaluation of blunt abdominal trauma: A review of prospective trials.

Many trauma centers are considering the addition of diagnostic ultrasonography to their trauma protocols. However, a diagnostic imaging application should not be used in general clinical practice until its efficacy has been demonstrated. A literature search was conducted for prospective trials on the use of ultrasound in evaluation of blunt abdominal trauma. Each study was evaluated with the us...

متن کامل

Blunt Neck and Laryngeal Trauma Evaluation: An 11-Year Study

Introduction: Blunt neck and laryngeal trauma is rare. Since such injuries can be life threatening, their early management remarkably affects the immediate probability of patients’ survival and their long-term quality of life. Materials and Methods: In this retrospective and descriptive study, medical records of 54 patients with blunt neck and laryngeal trauma, who were referred to Imam Khom...

متن کامل

[Blunt injuries of the gastrointestinal tract].

This study represents our experience with severe blunt gastrointestinal injury in 29 polytrauma and 3 solitary trauma patients. The primary diagnosis was missed in intestinal perforation (4x) and mesenteric disrupture (1x). In 2 other patients contusion of the gastrointestinal wall led to postprimary perforation. The average mortality was 21.8%; only 2 patients died from abdominal sepsis. Blunt...

متن کامل

Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience

Laparoscopy has been used for the diagnosis and treatment for hemodynamically stable patients with penetrating abdominal trauma. This study evaluated whether diagnostic and therapeutic laparoscopy can be used as effectively in select patients with blunt abdominal trauma. All hemodynamically stable patients undergoing operations for blunt abdominal trauma over a 10-year period (2006-2015) at a t...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2013