BACKGROUND The management of penetrating abdominal stab wounds has been the subject of continued reappraisal and controversy. In the present study a novel method which combines the use of diagnostic laparoscopy and DPL, termed laparoscopic diagnostic peritoneal lavage (L-DPL) is described METHOD Five trauma patients with penetrating injuries to the lower chest or abdomen were included. Standa...

INTRODUCTION Approximately one third of stable patients with significant intra-abdominal injury do not have significant intraperitoneal blood evident on admission. We hypothesized that a delayed, repeat ultrasound study (Secondary Ultrasound--SUS) will reveal additional intra-abdominal injuries and hemoperitoneum. METHODS We performed a prospective observational study of trauma patients at ou...

On 4th April, 1925, at 3 p.m. I was called up to see a woman, aged 55, with an abdominal injury caused by the horn of a bullock; the accident had occurred in the early morning. I reached the place in the evening at 6 p.m. and found the woman in good condition (pulse and temperature normal). I found that the intestines had come out through the crescentic tear and were wrapped in a piece of dirty...

L. D. was gored by a wild boar at night in his field while watching his crops on the 10th March, 1944 After a lapse of twenty-four hours he was carried to the dispensary, a distance of ten miles over and down the ghats. He had irregular contused wounds of the back muscles and several gashes on the right abdominal * wall and thigh. The peritoneum was ripped open about two inches on the outer bor...

BACKGROUND This study was carried out to estimate the prevalence, severity and mode of splenic trauma and management technique from amongst the abdominal trauma cases admitted in Ayub Teaching Hospital. METHODS The study was carried out at Surgery units of Ayub Teaching Hospital, Abbottabad, the only referral hospital for major trauma cases, from July 2001 to Dec. 2002. One hundred consecutiv...

INTRODUCTION Traumatic hernia of the abdominal wall is a rare entity. A large proportion of reported cases are in children with a particular type of injury, i.e. from a handlebar injury. In adults, the presentation can vary substantially and the diagnosis is difficult. We present two cases in adults, with widely varying presentations and management. CASE PRESENTATIONS A 40-year-old woman from...

In this study, we aimed to determine gastrointestinal problems associated with neurogenic bowel dysfunction in spinal cord injury patients and to assess the efficacy of bowel program on gastrointestinal problems and the severity of neurogenic bowel dysfunction. Fifty-five spinal cord injury patients were included in this study. A bowel program according to the characteristics of neurogenic bowe...

The; publication on p. 269 of the issue of the Indian Medical Gazette for last June of Dr. Row's case of abdominal injury prompts me to record one of still more serious abdominal injury. The patient, J. M., a Hindu male, aged about 24, was brought to the Balasore Hospital about 8 a.m. on 28th October, 1924, with a history that he had been gored by a buffalo the previous evening. Some 5 feet of ...

PURPOSE OF REVIEW There has recently been renewed interest in the chest wall during mechanical ventilation, related to lung-protective ventilation strategies, as well as in the role of abdominal pressure in many facets of critical illness. The purpose of this review is to address relevant issues related to the chest wall and mechanical ventilation, particularly in patients with acute lung injur...