Abdominal trauma, both blunt and sharp, is a major public problem and constitutes one of the serious and major surgical emergencies for surgeons worldwide. Frequently, more obvious multiple injuries to head, thorax and extremities may mask the blunt abdominal trauma. A better understanding of the etiology and pattern of such injuries can help to improve the management and outcome of these patients. Blunt trauma abdomen is more common in males in age group of 21-30 years and majority of injuries are due to road traffic accidents. Solid organs of upper abdomen such as spleen and liver are primarily injuried in blunt trauma abdomen. In penetrating injuries small intestine is most frequently injuried. About 15% of all pelvic fractures are associated with concomitant bladder and urethral injuries. A direct blow to lower abdomen may result in bladder disruption; mainly intra peritoneal. This study was done to determine the incidence of trauma abdomen and its various parameters like age, sex, mode of injury, its radiological findings and detail of visceral injuries and patients' outcome.
Introduction: Functional TR has historically been left untreated based on the assumption that TR will improve if primary pathology is corrected. Data has suggested that this practice leads to poorer long-term outcomes. There is still ongoing debate over the optimal treatment of TR secondary to mitral valve disease. We at Dr. RMLHospital, New Delhi present our retrospective analysis of 140 patients undergoing MVR who had moderate or more TR, as well as a short review of literature on management of TR at the time of mitral valve replacement Methods:Aretrospective analysis of 140 consecutive patients who underwent MVR with moderate or more TR from 2018 to 2021. Patients were divided in 2 groups depending upon if they received primary TVr (treated group) or not (untreated group). At our centre, the need for tricuspid repair was guided by the severity of TR and tricuspid index. Patients requiring DVR or correction of other pathologies were excluded. Patients were followed-up on clinical assessment as well as echocardiography. Results: 92 patients were in group A and 48 in group B. There was no statistically signicant difference between the 2 groups in terms of demographics, length of hospital stay, need for inotropic support postoperatively. There was no perioperative mortality. 59 patients in group Ahad decreased TR on follow up whereas 30 had no change with only 3 having increased TR. In group B 15 had increased TR with no change in 31 with only 2 patients having decreased TR. Conclusion: Concomitant tricuspid valve repair with mitral valve surgery offers optimal long term results with acceptable short term morbidity and mortality and should be offered to patients with moderate or severe TR with tricuspid index >2.1 cm/m2
The Anatolian Journal of Cardiology is an international monthly periodical on cardiology published on independent, unbiased, double-blinded and peerreview principles. The journal's publication language is English however titles of articles, abstracts and Keywords are also published in Turkish on the journal's web site.The Anatolian Journal of Cardiology aims to publish qualified and original clinical, experimental and basic research on cardiology at the international level. The journal's scope also covers editorial comments, reviews of innovations in medical education and practice, case reports, original images, scientific letters, educational articles, letters to the editor, articles on publication ethics, diagnostic puzzles, and issues in social cardiology.The target readership includes academic members, specialists, residents, and general practitioners working in the fields of adult cardiology, pediatric cardiology, cardiovascular surgery and internal medicine.
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