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  1. Article: Laparotomy for blunt abdominal trauma-some uncommon indications.

    Dharap, Satish B / Noronha, Jarin / Kumar, Vineet

    Journal of emergencies, trauma, and shock

    2015  Volume 9, Issue 1, Page(s) 32–36

    Abstract: ... abdominal wall hernia. In addition to standard indications for surgery in blunt abdominal trauma, laparotomy ... Trauma laparotomy after blunt abdominal trauma is conventionally indicated for patients ... with herniation. Some other indications for laparotomy have been presented and discussed. Five patients with blunt ...

    Abstract Trauma laparotomy after blunt abdominal trauma is conventionally indicated for patients with features of hemodynamic instability and peritonitis to achieve control of hemorrhage and control of spillage. In addition, surgery is clearly indicated for the repair of posttraumatic diaphragmatic injury with herniation. Some other indications for laparotomy have been presented and discussed. Five patients with blunt abdominal injury who underwent laparotomy for nonroutine indications have been presented. These patients were hemodynamically stable and had no overt signs of peritonitis. Three patients had solid organ (spleen, kidney) infarction due to posttraumatic occlusion of the blood supply. One patient had mesenteric tear with internal herniation of bowel loops causing intestinal obstruction. One patient underwent surgery for traumatic abdominal wall hernia. In addition to standard indications for surgery in blunt abdominal trauma, laparotomy may be needed for vascular thrombosis of end arteries supplying solid organs, internal or external herniation through a mesenteric tear or anterior abdominal wall musculature, respectively.
    Language English
    Publishing date 2015-07-29
    Publishing country India
    Document type Case Reports
    ZDB-ID 2461111-6
    ISSN 0974-519X ; 0974-2700
    ISSN (online) 0974-519X
    ISSN 0974-2700
    DOI 10.4103/0974-2700.173866
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Laparotomy for blunt abdominal trauma-some uncommon indications

    Satish B Dharap / Jarin Noronha / Vineet Kumar

    Journal of Emergencies, Trauma and Shock, Vol 9, Iss 1, Pp 32-

    2016  Volume 36

    Abstract: ... abdominal wall hernia. In addition to standard indications for surgery in blunt abdominal trauma, laparotomy ... Trauma laparotomy after blunt abdominal trauma is conventionally indicated for patients ... with herniation. Some other indications for laparotomy have been presented and discussed. Five patients with blunt ...

    Abstract Trauma laparotomy after blunt abdominal trauma is conventionally indicated for patients with features of hemodynamic instability and peritonitis to achieve control of hemorrhage and control of spillage. In addition, surgery is clearly indicated for the repair of posttraumatic diaphragmatic injury with herniation. Some other indications for laparotomy have been presented and discussed. Five patients with blunt abdominal injury who underwent laparotomy for nonroutine indications have been presented. These patients were hemodynamically stable and had no overt signs of peritonitis. Three patients had solid organ (spleen, kidney) infarction due to posttraumatic occlusion of the blood supply. One patient had mesenteric tear with internal herniation of bowel loops causing intestinal obstruction. One patient underwent surgery for traumatic abdominal wall hernia. In addition to standard indications for surgery in blunt abdominal trauma, laparotomy may be needed for vascular thrombosis of end arteries supplying solid organs, internal or external herniation through a mesenteric tear or anterior abdominal wall musculature, respectively.
    Keywords Abdomen ; blunt ; indications ; internal hernia ; laparotomy ; trauma ; traumatic abdominal wall hernia ; vascular injury ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Blunt Traumatic Abdominal Wall Hernias: An Indicator for Emergent Laparotomy?

    Santos, Adora T / Jagiella-Lodise, Olivia / Kim, Phillip / Freedberg, Mari E / Smith, Randi N / Nguyen, Jonathan / Davis, M Andrew / Ayoung-Chee, Patricia / Todd, S Rob / Benjamin, Elizabeth R / Sciarretta, Jason D

    The American surgeon

    2023  Volume 89, Issue 9, Page(s) 3829–3834

    Abstract: ... 2020) for adult patients with blunt thoracoabdominal trauma diagnosed with a TAWH. Those patients ... injury requiring emergent laparotomy.: Methods: The trauma registry was queried over an 8-year period (7/2012-7 ... Background: Traumatic abdominal wall hernias (TAWH) are relatively uncommon; however, the shearing ...

    Abstract Background: Traumatic abdominal wall hernias (TAWH) are relatively uncommon; however, the shearing force that results in fascial disruption could indicate an increased risk of visceral injury. The aim of our study was to evaluate whether the presence of a TAWH was associated with intra-abdominal injury requiring emergent laparotomy.
    Methods: The trauma registry was queried over an 8-year period (7/2012-7/2020) for adult patients with blunt thoracoabdominal trauma diagnosed with a TAWH. Those patients who were identified with a TAWH and greater than 15 years of age were included in the study. Demographics, mechanism of injury, ISS, BMI, length of stay, TAWH size, type of TAWH repair, and outcomes were analyzed.
    Results: Overall, 38,749 trauma patients were admitted over the study period, of which 64 (.17%) had a TAWH. Patients were commonly male (n = 42, 65.6%); the median age was 39 years (range 16-79 years) and a mean ISS of 21. Twenty-eight percent had a clinical seatbelt sign. Twenty-seven (42.2%) went emergently to the operating room, the majority for perforated viscus requiring bowel resection (n = 16, 25.0%), and 6 patients (9.4%) who were initially managed nonoperatively underwent delayed laparotomy. Average ventilator days was 14 days, with a mean ICU LOS of 14 days and mean hospital LOS of 18 days. About half of the hernias were repaired at the index operation, 6 of which were repaired primarily and 10 with mesh.
    Conclusion: The presence of a TAWH alone was an indication for immediate laparotomy to evaluate for intra-abdominal injury. In the absence of other indications for exploration, nonoperative management may be safe.
    MeSH term(s) Adult ; Humans ; Male ; Adolescent ; Young Adult ; Middle Aged ; Aged ; Laparotomy/methods ; Hernia, Ventral/etiology ; Hernia, Ventral/surgery ; Hernia, Ventral/diagnosis ; Abdominal Injuries/complications ; Abdominal Injuries/diagnosis ; Abdominal Injuries/surgery ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/surgery ; Wounds, Nonpenetrating/diagnosis ; Intestinal Perforation/surgery ; Abdominal Wall/surgery
    Language English
    Publishing date 2023-05-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348231172453
    Database MEDical Literature Analysis and Retrieval System OnLINE

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