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  1. Article: Missed traumatic abdominal injury with challenging management: report of 12-year follow-up.

    Ceballos-Esparragón, José J / Servide-Staffolani, María José / Petrone, Patrizio

    Journal of surgical case reports

    2022  Volume 2022, Issue 3, Page(s) rjac053

    Abstract: Despite well-established clinical guidelines and use of radiologic imaging for diagnosis, challenges are faced when accurate decisions must be made within seconds. Patients with life-threatening injuries represent 10-15% of all hospitalized trauma ... ...

    Abstract Despite well-established clinical guidelines and use of radiologic imaging for diagnosis, challenges are faced when accurate decisions must be made within seconds. Patients with life-threatening injuries represent 10-15% of all hospitalized trauma patients. In fact, 20% of abdominal injuries will require surgical intervention. In abdominal trauma, it is important to distinguish the difference between surgical intervention, which includes damage control procedures and definitive treatment. The main objective of damage control surgery is to control the bleeding, reduce the contamination and delay additional surgical stress at a time of physiological vulnerability of the patient, along with abdominal containment, visceral protection and avoiding aponeurotic retraction in situations where primary abdominal closure is not possible. However, this technique has high morbidity and comes with a myriad of complications, including development of catastrophic abdomen and formation of enterocutaneous fistulas.
    Language English
    Publishing date 2022-03-21
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjac053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evolution of the treatment of splenic injuries: from surgery to non-operative management.

    Petrone, Patrizio / Anduaga Peña, María Fernanda / Servide Staffolani, María José / Brathwaite, Collin / Axelrad, Alexander / Ceballos Esparragón, José

    Cirugia espanola

    2017  Volume 95, Issue 8, Page(s) 420–427

    Abstract: The spleen is one of the most frequently injured organs in blunt abdominal trauma. In the past decades, the treatment of patients with blunt splenic injury has shifted from operative to non-operative management. The knowledge of physiology and immunology ...

    Title translation Evolución en el tratamiento conservador del traumatismo esplénico contuso.
    Abstract The spleen is one of the most frequently injured organs in blunt abdominal trauma. In the past decades, the treatment of patients with blunt splenic injury has shifted from operative to non-operative management. The knowledge of physiology and immunology of the spleen have been the main reasons to develop techniques for splenic salvage. The advances in high-resolution imaging techniques, as well as less invasive procedures, including angiography and angioembolization, have allowed a higher rate of success in the non-operative management. Non-operative management has showed a decrease in overall mortality and morbidity. The aim of this article is to analyze the current management of splenic injury based on a literature review of the last 30 years, from we have identified 63,205 patients. This would enable the surgeons to provide the best care possible in every case.
    MeSH term(s) Humans ; Spleen/injuries ; Spleen/surgery ; Wounds and Injuries/therapy
    Language Spanish
    Publishing date 2017-10
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2017.07.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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