Severe thermal injury is associated with pronounced changes in intestinal physiology, which may cause ischemia, infarction, and pneumatosis intestinalis (PI). PI is a pathologic condition defined as infiltration of gas into the gastrointestinal tract wall. Historically, PI prompted urgent surgery, yet some surgeons "watch and wait" to avoid the risks of a negative laparotomy. The authors review...

introduction: opium addiction can change immune response to types of stress such as injury or trauma due to alterations in the in secretion status of cytokines in the body. in this study, effects of opium addiction on wound healing and post-operative adhesion bands were assessed after laparotomy. materials and methods: male rats (n=20) were randomly divided into opium addicted (documented with ...

conclusions vacuum-assisted abdominal closure is a good technique for temporary abdominal closure. in patients who are unable to achieve fascial closure, skin closure alone is safe. results after 157 trauma laparotomies, 35 (22%) were open abdomen cases with an average injury severity score was 35. ninety-four percent of open abdomens occurred after damage-control surgery. temporary vacuum-assi...

BACKGROUND A retrospective study was performed to assess the causes, diagnostic methods for, and clinical features of, jejunoileal hemorrhage in Shandong province, China and to derive recommendations for management of this condition from these data. METHODS We performed a retrospective systematic collection of data from between January 1999 and December 2008 in seven cities in Shandong provin...

A lumbar laminectomy is a common and routine operation. Damage to abdominal vascular structures during surgery is a relatively infrequent complication; however, when it does occur, it is sudden and life-threatening. We herein report on 2 cases of abdominal vascular injury which occurred during lumbar microdiscectomies. The first case was a 34-year-old man. A bloody surgical field was noted 45 m...

BACKGROUND AND OBJECTIVES Colonoscopy is widely used for diagnosis, treatment, and control of intestinal disorders. Intestinal perforation, although rare, is the most feared complication. Perforations can be treated by endoscopic clamping. The objective of this report was to alert specialists for the development and treatment of abdominal compartment syndrome during endoscopic clamping of an in...

<p><strong>Background: </strong>Despite older adults (65 years and above) accounting for almost half of emergency laparotomies an ageing population, there remains a paucity research in the adult surgery population. One key clinical area that requires urgent assessment is patient who presents with acute abdominal pathology treatable by laparotomy, but does not undergo (NoLAP). ...

objective: to determine the preventive effects of local administration of simvastatin for postoperative intra-abdominal adhesion formation in animal model of rat . methods: in this experimental study, 32 wistar albino rats as the animal model of intra-abdominal adhesion formation were included. adhesions were induced in all the animals via abrasion of the peritoneal and intestinal surface durin...

OBJECTIVE To estimate the ability of parents to recall the injuries of their children. DESIGN Comparison of parent recall with computerized medical records. SETTING A health maintenance organization in Washington State during 2003. SUBJECTS Parents of children younger than 6 years. MAIN OUTCOME MEASURES The ratio of recalled injuries to injuries in computerized data. RESULTS Telephone...