Post traumatic acquired multiple mesenteric defects

Aref, Hager; Felemban, Bandar

doi:10.1016/j.ijscr.2013.03.028

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…[ 4 ] In this case, although the internal herniation presented during the same hospital stay; Aref and Felemban have reported it to present 7 months later. [ 5 ] The role of laparoscopy in blunt trauma is limited. It is useful in the diagnosis of diaphragmatic hernia.…”

Section: Discussionmentioning

confidence: 99%

Laparotomy for blunt abdominal trauma-some uncommon indications

Dharap

Noronha

Kumar

2016

J Emerg Trauma Shock

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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.

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Section: Discussionmentioning

confidence: 99%

Laparotomy for blunt abdominal trauma-some uncommon indications

Dharap

Noronha

Kumar

2016

J Emerg Trauma Shock

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“…Multiple trauma patient represents a challanging case in the intensive care unit (ICU). Severe systemic inflamatory syndrome trigger multiple biochemical and physiological dysfunctions resulting in a significant decrease in survival rate [ 1 , 2 ]. Special attention is given to hemorrhagic shock [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

New perspectives of volemic resuscitation in polytrauma patients: a review

et al. 2016

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Nowadays, fluid resuscitation of multiple trauma patients is still a challenging therapy. Existing therapies for volume replacement in severe haemorrhagic shock can lead to adverse reactions that may be fatal for the patient. Patients presenting with multiple trauma often develop hemorrhagic shock, which triggers a series of metabolic, physiological and cellular dysfunction. These disorders combined, lead to complications that significantly decrease survival rate in this subset of patients. Volume and electrolyte resuscitation is challenging due to many factors that overlap. Poor management can lead to post-resuscitation systemic inflammation causing multiple organ failure and ultimately death. In literature, there is no exact formula for this purpose, and opinions are divided. This paper presents a review of modern techniques and current studies regarding the management of fluid resuscitation in trauma patients with hemorrhagic shock. According to the literature and from clinical experience, all aspects regarding post-resuscitation period need to be considered. Also, for every case in particular, emergency therapy management needs to be rigorously respected considering all physiological, biochemical and biological parameters.

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Post traumatic acquired multiple mesenteric defects

Abstract: The diagnosis of post traumatic mesenteric injuries can be missed in conservatively managed trauma cases. For this reason, the decision of non-operative approach should be made following the exclusion of associated injuries.

Cited by 2 publications

References 13 publications

Laparotomy for blunt abdominal trauma-some uncommon indications

Laparotomy for blunt abdominal trauma-some uncommon indications

New perspectives of volemic resuscitation in polytrauma patients: a review

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