Abdominal injury is an important aspect of trauma because of difficulty in diagnosis and its lethal potential if not properly treated. Fifty cases of abdominal injury admitted in the surgical wards of Rajshahi Medical College Hospital over 2 years have been studied here. All the patients underwent laparotomy for their management. The age range of the patient was 14 to 70 years and most commonly...

Penetrating abdominal trauma (PAT) is seen daily in our trauma ward. We present a retrospective study of the patients managed in our hospital (Polokwane Hospital, Limpopo) from January 1999 to March 2000. Epidemiology, mechanism of injury, patterns of injury, management, morbidity and overall mortality were recorded for analysis. Morbidity and mortality were commonly associated with peritonitis...

BACKGROUND Trauma, especially chest and abdominal trauma are increasing due to the growing number of vehicles on the roads, which leads to an increased incidence of road accidents. Urbanization, industrialization and additional problems are the other associated factors which accelerate this phenomenon. A better understanding of the etiology and pattern of such injuries can help to improve the m...

Traumatic pseudoaneurysm of the abdominal aorta is a life threatening and a rare condition in aortic injuries. Most lesions are caused by a penetrating injury and may not be detected during the first evaluation. The time interval from initial trauma to appearance of clinical signs and symptoms may range from a few days to many years, and there are only a few reports of delayed presentation. We ...

BACKGROUND Penetrating cardiac injuries are rare but represent a high mortality. Early recognition of the injury and rapid intervention are necessary. We analyzed the characteristics of patients with penetrating injury and the factors affecting the outcome, including the experience of the general surgeon. METHODS Twenty-three patients suffering penetrating cardiac injury were retrospectively ...

OBJECTIVE The purpose of this series is to report our experience in managing ureteral trauma, focusing on the importance of early diagnosis, correct treatment, and the impact of associated injuries on the management and morbid-mortality. MATERIALS AND METHODS From January 1994 to December 2002, 1487 laparotomies for abdominal trauma were performed and 20 patients with ureteral lesions were id...

BACKGROUND The optimal treatment facility for adolescent trauma patients is controversial. We sought to investigate risk-adjusted outcomes of adolescents treated at adult-only trauma centers (ATCs) versus pediatric-only trauma centers (PTCs) in a state system with legislated American College of Surgeons-verified institutions to determine ideal prehospital referral patterns. METHODS The Ohio T...

conclusions according to the findings of this study, the most common cause of penetrating neck injuries was stab wounds, and the majority of patients were young men, therefore, preventive measures should be implemented. because of fatal complications associated with neck injuries, we recommend early neck exploration in unstable cases or when injuries are deeper than the platysma. results among ...

OBJECTIVES We sought to determine whether the performance of pyloric exclusion during repair of penetrating advanced duodenal injuries prevents postoperative duodenal fistulas and improves clinical outcome. METHODS A retrospective chart review of patients from 1995 to 2004 with penetrating duodenal injuries >or=grade II and all combined pancreaticoduodenal injuries was performed. Patients man...

a case of a transcranial stab wound is presented in which the patient was stabbed in the left temporal bone with a knife which, after traversing the tentorium, passed through the occipital squama and its tip reached the upper cervical area. the subject underwent surgery and was discharged without neurological sequelae. the fundamental principles of management in this specific type of head injur...