Interventional Radiology in Abdominal Trauma: Surgery versus Interventional Radiology

2016 ◽  
Keyword(s):  
Interventional Radiology ◽  
Abdominal Trauma ◽  
Trauma Surgery

Educational Review of Predictive Value and Findings of Computed Tomography Scan in Diagnosing Bowel and Mesenteric Injuries after Blunt Trauma: Correlation with Trauma Surgery Findings in 163 Patients

2017 ◽  
Vol 68 (3) ◽  
pp. 276-285 ◽  
Author(s):  
Francesco Cinquantini ◽  
Gregorio Tugnoli ◽  
Alice Piccinini ◽  
Carlo Coniglio ◽  
Sergio Mannone ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Predictive Value ◽  
Gold Standard ◽  
Clinical Management ◽  
Trauma Surgery ◽  
Trauma Patients ◽  
Increased Risk

Background and Aims Laparotomy can detect bowel and mesenteric injuries in 1.2%–5% of patients following blunt abdominal trauma. Delayed diagnosis in such cases is strongly related to increased risk of ongoing sepsis, with subsequent higher morbidity and mortality. Computed tomography (CT) scanning is the gold standard in the evaluation of blunt abdominal trauma, being accurate in the diagnosis of bowel and mesenteric injuries in case of hemodynamically stable trauma patients. Aims of the present study are to 1) review the correlation between CT signs and intraoperative findings in case of bowel and mesenteric injuries following blunt abdominal trauma, analysing the correlation between radiological features and intraoperative findings from our experience on 25 trauma patients with small bowel and mesenteric injuries (SBMI); 2) identify the diagnostic specificity of those signs found at CT with practical considerations on the following clinical management; and 3) distinguish the bowel and mesenteric injuries requiring immediate surgical intervention from those amenable to initial nonoperative management. Materials and Methods Between January 1, 2008, and May 31, 2010, 163 patients required laparotomy following blunt abdominal trauma. Among them, 25 patients presented bowel or mesenteric injuries. Data were analysed retrospectively, correlating operative surgical reports with the preoperative CT findings. Results We are presenting a pictorial review of significant and frequent findings of bowel and mesenteric lesions at CT scan, confirmed intraoperatively at laparotomy. Moreover, the predictive value of CT scan for SBMI is assessed. Conclusions Multidetector CT scan is the gold standard in the assessment of intra-abdominal blunt abdominal trauma for not only parenchymal organs injuries but also detecting SBMI; in the presence of specific signs it provides an accurate assessment of hollow viscus injuries, helping the trauma surgeons to choose the correct initial clinical management.

scholarly journals Abdominal Trauma Surgery: From Lejars to EBM

2013 ◽  
Vol 02 (04) ◽  
Author(s):  
Roberto Cirocchi R Abe Fingerhut
Keyword(s):  
Abdominal Trauma ◽  
Trauma Surgery

Multidisciplinary Management of Severe Traumatic Hepatic Injury Involving Interventional Radiology Embolization, Trauma Laparotomy, and Liver Transplantation

2021 ◽  
pp. 000313482110318
Author(s):  
Jigesh Shah ◽  
Arjmand Mufti ◽  
Ryan Dumas ◽  
Matthew Porembka ◽  
Joseph Minei ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Interventional Radiology ◽  
Hepatic Injury ◽  
Trauma Surgery ◽  
Normal Activity ◽  
Trauma Patients ◽  
Multidisciplinary Management ◽  
Early Return ◽  
Definitive Therapy ◽  
Transplant Evaluation

This report describes liver transplantation as a successful strategy in the management of a young man who presented to a local emergency room following catastrophic traumatic hepatic vascular injuries. Expeditious multidisciplinary management, including interventional radiology, trauma surgery, and ultimately transplant surgery, provided the patient with definitive therapy following his injuries and early return to normal activity. Our experience highlights the importance of prompt referral of select hepatic trauma patients for liver transplant evaluation as part of their complex trauma management.

Abdominal trauma surgery during recent US combat operations from 2002 to 2016

2018 ◽  
Vol 85 ◽  
pp. S122-S128 ◽  
Author(s):  
Zsolt T. Stockinger ◽  
Caryn A. Turner ◽  
Jennifer M. Gurney
Keyword(s):  
Abdominal Trauma ◽  
Trauma Surgery

Emergent Extra-Abdominal Trauma Surgery: Is Abdominal Screening Necessary?

2000 ◽  
Vol 49 (2) ◽  
pp. 195-199 ◽  
Author(s):  
Richard P. Gonzalez ◽  
Kristine Dziurzynski ◽  
Matthew Maunu
Keyword(s):  
Abdominal Trauma ◽  
Trauma Surgery

scholarly journals Enhanced recovery after surgery protocol versus conventional care in emergency abdominal trauma surgery: a prospective, randomised, controlled study

2021 ◽  
Vol 9 (1) ◽  
pp. 118
Author(s):  
Ajay Kumar Dhiman ◽  
Nilesh Jagne ◽  
Madhur Uniyal ◽  
Ajay Kumar ◽  
Quamar Azam
Keyword(s):  
Hospital Stay ◽  
Abdominal Trauma ◽  
Enhanced Recovery ◽  
Trauma Surgery ◽  
Controlled Study ◽  
Emergency Laparotomy ◽  
Early Recovery ◽  
End Points ◽  
Operative Care ◽  
Significant Difference

Background: Since 1990s there has been a defined role of ERAS in elective surgeries, to optimize the peri-operative care, reducing post-operative complications and length of stay and hence, the overall costs. However, there is paucity of literature in its effectiveness in emergency trauma surgeries. The aim of the study was to investigate the feasibility and outcomes of ERAS protocol in emergency abdominal surgery in the setting of trauma.Methods: Institutional IEC approved study. A prospective randomized of 52 patients with abdominal trauma undergoing emergency laprotomy were included in the study and divided into two groups: ERP and conventional group. The ERP included early feeding, early urinary catheter removal, early mobilization/physiotherapy, early intravenous line removal and early optimal oral analgesia. The primary end-points were the length of hospital stay and secondary end-points included complication rate and re-admission rate.Results: The two groups were comparable with regards to age, gender, mechanism of injury and ISS score. Hospital stay was significantly shorter in the ERAS group: 4.67 days verses 13.36 days (p<0.001). There were 15 and 11 complications in the control and study group respectively. When graded as per the Clavien-Dindo classification there was no significant difference in the 2 groups (p=0.306).Conclusions: This study shows that early recovery programs can be successfully implemented with significant shorter hospital stays without any increase in postoperative complications in trauma patients undergoing emergency laparotomy for abdominal trauma.

Sign in / Sign up

Export Citation Format

Share Document