Delayed recognition of diaphragmatic injury caused by penetrating thoraco-abdominal trauma

Wilson, Emily; Metcalfe, David; Sugand, Kapil; Sujenthiran, Arunan; Jaiganesh, Thiagarajan

doi:10.1016/j.ijscr.2012.07.011

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…Therefore, consideration of the potential extent of injuries in patients appears to be more important than simply monitoring the presenting symptoms. For instance, diaphragm injuries in thoraco-abdominal stab wounds are often recognized only after some delay ( 32 ). In such cases, laparoscopic exploration would be a useful approach.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Self-Inflicted Stab Wounds Versus Assault-Induced Stab Wounds

Ahn¹,

Kim²,

Paik³

et al. 2016

Trauma Mon

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Background: Although self-inflicted and assault-induced knife injuries might have different mortality and morbidity rates, no studies have actually evaluated the importance of the cause of knife injuries in terms of patient outcomes and treatment strategies. Objectives: The aims of this study were to assess the difference between the outcomes of patients presenting with self-inflicted stab wounds (SISW) versus assault-induced stab wounds (AISW). Patients and Methods:A retrospective review of the relevant electronic medical records was performed for the period between January 2000 and December 2012 for patients who were referred to the department of surgery for stab wounds by the trauma team. The patients were divided into either SISW (n = 10) or AISW groups (n = 11), depending on the cause of the injury. Results: A total of 19 patients had undergone exploratory laparotomy. Of the nine patients with SISW undergoing this procedure, no injury was found in seven of the patients. In the AISW group, eight of the ten laparotomies were therapeutic. Three patients in the AISW group died during hospital admission. The average number of stab wounds was 1.2 for the SISW group and 3.5 for the AISW group. Organ injuries were more frequent in the AISW group, affecting the lung (2), diaphragm (3), liver (5), small bowel (2), colon (2), and kidney (1). Conclusions: Although evaluations of the initial vital signs and physical examinations are still important, the history regarding the source of the stab wounds (AISW vs. SISW) may be helpful in determining the appropriate treatment methods and predicting patient outcomes.

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Section: Discussionmentioning

confidence: 99%

A Comparison of Self-Inflicted Stab Wounds Versus Assault-Induced Stab Wounds

Ahn¹,

Kim²,

Paik³

et al. 2016

Trauma Mon

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“…Although diagnostic thoracoscopy and laparoscopy are recommended, 22 they are minimum invasive approaches for the injured patients. In our opinion, videothoracoscopy should be therapeutic instead of diagnostic.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Traumatic diaphragmatic rupture with combined thoracoabdominal injuries: Difference between penetrating and blunt injuries

Jin-mou

et al. 2015

Chinese Journal of Traumatology

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“…Emily et al [25], Fabian et al [19], and Heng et al [2] reported fewer complications rate, shorter length of hospital stay, lesser operative time with negative laparoscopy than with negative or non-therapeutic laparotomy.…”

mentioning

confidence: 99%