Blunt trauma Persistent hypotension and clinical evidence of intra-abdominal bleeding (including positive FAST or DPL) Free air, retroperitoneal air, or evidence of ruptured diaphragm Contrast-enhanced CT scan suggesting ruptured hollow…
Fig. 18.1 Open abdomen after 10 days of treatment with low pressure NPWT. Bowel loops looks vital and healthy and free of adhesions Fig. 18.2 Free bowel loops after 16…
Grade I Contusion or hematoma Hematuria, subcapsular non-expanding hematoma Grade II Laceration <1 cm parenchymal depth without collecting system invasion Grade III Laceration >1 cm parenchymal depth without collecting system…
Fig. 13.1 Decisional flowchart in traumatic abdominal hollow viscus injuries The use of abdominal CT scan has resulted in an increase in nonoperative management of solid organ injury. Concomitant simultaneous…
9. Zubowski R, Nallathambi M, Ivatury R et al (1988) Selective conservatism in abdominal stab wounds. The efficacy of serial physical examination. J Trauma 28:1665–1668PubMedCrossRef 10. Leppaniemi AK, Haaipianen RK…
S. Di Saverio, G. Tugnoli, F. Catena, L. Ansaloni and N. Naidoo (eds.)Trauma Surgery2014Volume 2: Thoracic and Abdominal Trauma10.1007/978-88-470-5459-2_21 © Springer-Verlag Italia 2014 21. Operative Management of Penetrating Trauma of the Abdomen Noel Naidoo1, 2 , David J. J. Muckart3, 2, T. E. Madiba2 and…
Gradea Description of injury I Contusion/hematoma II Superficial laceration (<1 cm) III Deep laceration (≥1 cm) IV Laceration involving uterine artery V Avulsion/devascularization aAdvance one grade for bilateral injuries up…
Fig. 9.1 The long stem of endo-GIA allows to easily staple the splenic hilum by using only one hand Fig. 9.2 Endo-GIA stapling the splenic hilum, while the left hand…
Technique Ideal situation Advantages Pitfalls Primary repair Simple, clean laceration Rapid Potential for leak “One-step operation” Segmental resection and anastomosis Multiple lacerations, injuries close to mesenteric border – or those…
Grade Finding Treatment I Intramural hematoma or superficial laceration Observation and/or drain II <2 cm laceration of pylorus or GE junction End-to-end anastomosis <5 cm laceration of proximal one-third of…
