Frequency of intra-abdominal organ injury is higher in patients with concomitant stab wounds to other anatomical areas

Jeroukhimov, Igor; Wiser, Itay; Hershkovitz, Yehuda; Shapira, Z; Peleg, Kobi; Alfici, Ricardo; Givon, Adi; Kessel, Boris

doi:10.1186/s12873-018-0167-4

Cited by 11 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ratio of patients with a pre-operative hemopneumomediastinum was similar between the groups in our series, and 45% required a thoracostomy during the pre- or intraoperative period. [ 16 - 18 ]…”

Section: Discussionmentioning

confidence: 99%

Is diagnostic laparoscopy necessary in the management of left thoracoabdominal stab wounds?

Okmen

2023

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: The diagnosis of a diaphragmatic rupture and the identification of patients for surgical repair is challenging despite current diagnostic algorithms and imaging technologies. Unless treated on time, acute traumatic diaphragmatic injury due to stab wounds has a high mortality and morbidity rate, with an increasing trend in the presence of organ herniation. In this study, we aimed to investigate the efficacy of diagnostic laparoscopy in patients with an anterior thoracoabdominal stab wound and to compare the follow-up outcomes of cases. METHODS: We retrospectively reviewed our institutional database of patients who were admitted with stab wounds between October 2012 and 2022. Patients who underwent diagnostic laparoscopy were divided into two groups depending on the presence of a diaphragmatic injury. We analyzed demographics, the success of computed tomography (CT) imaging in the diagnosis, the presence of hemomediastinum, pneumomediastinum, tube thoracostomy application, associated organ injury, type of surgery, duration of surgery, complications, and the length of stay between the groups. RESULTS: Of the 39 patients with penetrating left thoracoabdominal injury underwent diagnostic laparoscopy, CT had a diagnostic sensitivity of 63.16% (95% Confidence interval [CI] 38.36–83.71%), and a specificity of 100% (95% CI 82.35–100.00%). We could not find a statistically significant difference between the groups in terms of studied variables, while operation time was significantly higher in the diaphragmatic injury group (P<0.01). Fourteen patients had accompanied visceral injuries. CONCLUSION: Diagnostic laparoscopy is still the gold standard particularly in the ER setting, particularly in the absence of an experienced radiologist for 24 h and when the close monitoring of the patient by the same team cannot be provided.

show abstract

Section: Discussionmentioning

confidence: 99%

Is diagnostic laparoscopy necessary in the management of left thoracoabdominal stab wounds?

Okmen

2023

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…As the liver occupies a large portion of the abdominal cavity, up to 30% of penetrating abdominal trauma results in liver damage 16 . Other organs that are commonly involved are the small and large intestines, as well as vascular structures [16][17][18] . Because most of deaths take place before reaching any setting with definite care, e.g., the field hospital, effective hemostatic techniques are highly valuable.…”

Section: Discussionmentioning

confidence: 99%

A feasibility study using sodium alginate injection for penetrating abdominal trauma in a swine model

Barsky

Ya’acov

Avraham

et al. 2022

Sci Rep

View full text Add to dashboard Cite

Penetrating abdominal injury is a major cause of death in trauma. Sodium alginate hydrogel, a hemostatic agent, offers a platform for targeting both mechanical and biological injuries. The current study assessed the effect of Very Low Viscosity (high) G (VLVG) alginate following abdominal trauma in a swine model of penetrating abdominal injury. Seven anesthetized pigs were instrumented with invasive monitoring catheters and abdominal trauma was introduced by laparoscopic hepatectomy. Ten minutes after the induction of hypovolemic shock, three animals were intra-abdominally administered with VLVG alginate (study group) and four animals with saline (control group). During 8 h of continuous monitoring, various hemodynamic and biochemical variables were measured and liver biopsies for histological evaluation were taken. Hemodynamically, VLVG alginate-treated animals were more stable than controls, as reflected by their lower heart rate and higher blood pressure (p < 0.05 for both). They also had lower levels of liver enzymes and lactate, and less histopathological damage. We show that VLVG alginate might be a promising new agent for reducing penetrating intra-abdominal injury, with hemostatic and biocompatibility efficiency, and tissue preserving properties. Future effort of integrating it with a dispersal device may turn it into a valuable pre-hospital emergency tool to improve survival of trauma casualties.

show abstract

“…The most commonly injured intra-abdominal organ is small gut (50%) followed by large gut, liver and intra-abdominal vessels. 3 The high energy wounds like those of bullets and missiles have an unpredictable trajectory. In our case the entry point was just above the pubic symphysis but the metallic foreign body was found behind the stomach in the lesser sac.…”

Section: Discussionmentioning

confidence: 99%

Management of penetrating abdominal trauma in a resource limited setting of a district medical college, during COVID-19 pandemic: a case report

Bharti¹,

Bhatia²,

Dutt³

et al. 2022

Int Surg J

View full text Add to dashboard Cite

Penetrating trauma abdomen is a leading cause of injuries in the modern times. Most common causes are stabbing, gunshot wounds and industrial accidents. We present a case of penetrating trauma abdomen caused by a small metallic foreign body which entered through the anterior abdomen wall, caused jejunal perforation below umbilicus and was found in the lesser sac. It was a management challenge as we are a resource limited, newly established district medical college where the next referral centre is nearly 150 km away. The patient underwent a successful laparotomy where the perforation of the intestine was closed primarily and the foreign body was retrieved.

show abstract

Frequency of intra-abdominal organ injury is higher in patients with concomitant stab wounds to other anatomical areas

Cited by 11 publications

References 16 publications

Is diagnostic laparoscopy necessary in the management of left thoracoabdominal stab wounds?

Is diagnostic laparoscopy necessary in the management of left thoracoabdominal stab wounds?

A feasibility study using sodium alginate injection for penetrating abdominal trauma in a swine model

Management of penetrating abdominal trauma in a resource limited setting of a district medical college, during COVID-19 pandemic: a case report

Contact Info

Product

Resources

About