Management Of Abdominal Trauma Research Articles

Computed tomography in the management of paediatric abdominal trauma.

Since the installation of a whole body computed tomography (CT) unit at the Royal Alexandra Hospital for Children in March 1978, it has been shown to play an invaluable role in the management of abdominal trauma in selected cases. Our experience with 16 cases is presented, and the advantages of CT over alternative diagnostic aids are discussed.

Evaluation and Management of Abdominal Trauma in the Dog and Cat

Evaluation and Management of Abdominal Trauma in the Dog and Cat

Value of “inconclusive lavage” in abdominal trauma management: Hornyak S, Shafton G, J Trauma19:329–333, (May) 1979

Value of “inconclusive lavage” in abdominal trauma management: Hornyak S, Shafton G, J Trauma19:329–333, (May) 1979

Value of “Inconclusive Lavage” in Abdominal Trauma Management

Peritoneal lavage is an invaluable adjunct in the evaluation of abdominal trauma. Of 780 abdominal trauma patients in a prospective study, 685 underwent percutaneous peritoneal lavage. RBC counts in the effluent above 50,000/mm3 corresponded well with findings at exploration; however, two thirds of the patients having counts between 20,000--50,000/mm3 had serious injury at celiotomy. The data suggest the need for a reappraisal of lavage criteria for operation.

Radiology of Abdominal Trauma

IN 1970, trauma was the fourth leading cause of death, after heart disease, cancer, and stroke.1Of the 52 million US citizens injured annually, 110,000 die, while 11 million require hospitalization for one or more days, at a cost of $3 billion.2 The role of radiology has steadily increased in importance in the diagnosis and management of abdominal trauma. A sequence of radiologic procedures is useful and should be varied according to the clinical manifestations; they are reviewed here. Scout-Film Studies Scout-film studies of abdomen and chest are extremely valuable in the initial detection of hemorrhage, extraluminal air, and mass effect of a hematoma that may displace bowel or viscera and enlarge organs. Associated skeletal and chest trauma may first be detected on these studies. The patient should be transported to the x-ray department while lying on his left side. Since it may take 10 to 15 minutes

Abdominal trauma: a report of 129 cases.

Summary A retrospective study of 129 cases of abdominal trauma admitted to a district general hospital over the 8 years 1964–71 is reported. Road traffic accidents accounted for 60% of the cases and had a much higher mortality than domestic or industrial accidents. Laparotomy was carried out in eighty-eight patients, but two patients with a ruptured abdominal viscus died without operation because the diagnosis was not recognized. There were seventy-four cases of renal injury of which thirty-nine were treated conservatively and thirty-four were explored through a laparotomy incision. The indication for urgent operation in every case was the suspicion of an associated intraperitoneal injury and in all but three this was confirmed. Only one injured kidney was explored through the loin after an interval. Nephrectomy was carried out in eight cases (11%). The commonest finding at laparotomy was rupture of the spleen, of which there were fifty-three cases. Major hepatic injuries and rupture of the duodenum carried a very high mortality. In all four cases of retroperitoneal rupture of the duodenum there was a delay in diagnosis of at least 24 hr due to the late onset of physical signs. The overall mortality of patients with proved rupture of an abdominal viscus was 17% but in twenty patients (22%) there was a delay in diagnosis and this group carried a 30% mortality. A diagnostic peritoneal tap was carried out in only fifteen cases, but in nine (60%) gave a false negative result. The place of diagnostic peritoneal lavage in the management of abdominal trauma is discussed.

The Emergency Management of Abdominal Trauma

The Emergency Management of Abdominal Trauma