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Pesquisa : C26.017 [Categoria DeCS]
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[PMID]:29231023
[Au] Autor:Zhang WL; Du YL
[Ad] Endereço:Criminal Technology Branch, Agricultural Areas Public Security Bureau, Harbin 150038, China.
[Ti] Título:[Analysis on the Injury Mechanism and Characteristics of Ox Horn].
[So] Source:Fa Yi Xue Za Zhi;33(2):162-164, 2017 Apr.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To study the morphological characteristics of the injury caused by ox horn on human body and its injury mechanism, and to discuss the rules and characteristics of injury by ox horn and provide forensic evidences for identification of such cases. METHODS: The comparative analysis of position and morphological characteristics were performed by summarizing the data of 100 victims gored by ox accepted by Heilongjiang agricultural areas public security bureau during 2004-2014. RESULTS: The specific injuries only could be found at the contact positions such as thorax and abdomen, lower back and limbs of the victims gored by ox horn. Most of the skin wounds had the characteristics of sharp injuries, the bar-type injury by club which called "rail way bruise" was an obvious characteristic appeared on the soft tissue. CONCLUSIONS: Ox horn can cause non-specific injuries on thorax and abdomen, lower back and limbs of human body, which are similar with the characteristics of sharp injury and injury by club. Careful analyzation and identification should be performed on such injury in daily work.
[Mh] Termos MeSH primário: Traumatismos Abdominais/etiologia
Tórax
Ferimentos e Lesões/etiologia
Ferimentos Penetrantes
[Mh] Termos MeSH secundário: Animais
Bovinos
Feminino
Seres Humanos
Extremidade Inferior
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2017.02.011


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[PMID]:29443759
[Au] Autor:Han P; Yang L; Huang XW; Zhu XQ; Chen L; Wang N; Li Z; Tian DA; Qin H
[Ad] Endereço:Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan.
[Ti] Título:A traumatic hepatic artery pseudoaneurysm and arterioportal fistula, with severe diarrhea as the first symptom: A case report and review of the literature.
[So] Source:Medicine (Baltimore);97(7):e9893, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Hepaticarterioportal fistula (APF) is a rare cause of portal hypertension and gastrointestinal hemorrhage, and presents as abnormal communication between the hepatic artery and portal vein. Percutaneous liver biopsy is a main iatrogenic cause of AFP. However, non-iatrogenic, abdominal, trauma-related APF is rarely reported. PATIENT CONCERNS: A 29-year-old man presenting with severe, watery diarrhea was transferred to our hospital, and his condition was suspected to be acute gastroenteritis because he ate expired food and suffered a penetrating abdominal stab wound 5 years ago. After admission, the patient suffered from hematemesis, hematochezia, ascites, anuria, and kidney failure, and he developed shock. DIAGNOSES: The patient was finally diagnosed as a traumatic hepatic artery pseudoaneurysm and APF. INTERVENTIONS: This patient was treated with emergency transarterial embolization using coils. Since a secondary feeding vessel was exposed after the first embolization of the main feeding artery, a less-selective embolization was performed again. OUTCOMES: During the 6-month follow-up period, the patient remained asymptomatic. LESSONS: A penetrating abdominal stab wound is a rare cause of hepatic APFs, and occasionally leads to portal hypertension, the medical history and physical examination are the most important cornerstones of clinical diagnosis. Interventional radiology is essential for the diagnosis and treatment of an APF.
[Mh] Termos MeSH primário: Traumatismos Abdominais/complicações
Falso Aneurisma
Fístula Arteriovenosa
Diarreia/diagnóstico
Embolização Terapêutica/métodos
Artéria Hepática/diagnóstico por imagem
Hipertensão Portal/diagnóstico
Veia Porta/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Falso Aneurisma/diagnóstico
Falso Aneurisma/etiologia
Falso Aneurisma/fisiopatologia
Falso Aneurisma/terapia
Fístula Arteriovenosa/diagnóstico
Fístula Arteriovenosa/etiologia
Fístula Arteriovenosa/fisiopatologia
Fístula Arteriovenosa/terapia
Diagnóstico Diferencial
Diarreia/etiologia
Seres Humanos
Hipertensão Portal/etiologia
Masculino
Tomografia Computadorizada por Raios X/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009893


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[PMID]:29391109
[Au] Autor:Kleinman J; Strumwasser A; Rosen D; Hardin J; Inaba K; Demetriades D
[Ad] Endereço:Division of Trauma and Acute Care Surgery, LAC+USC Medical Center, Los Angeles, California, USA.
[Ti] Título:The Dangers of Equivocal FAST in Trauma Resuscitation.
[So] Source:Am Surg;83(10):1127-1131, 2017 Oct 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Equivocal focused abdominal sonography for trauma (FAST) examinations confound decision-making for trauma surgeons. We sought to determine whether the equivocal FAST (defined as any nonconcordant result) has a deleterious effect on trauma outcomes. A 2-year review (2014-2015) of all trauma activations at our Level I trauma center was performed. Patients were matched at baseline and FAST results were compared. Outcomes included resuscitation time (h), ventilation days (d), hospital length of stay (HLOS-d), ICU length-of-stay, and survival (%). In addition, skill level of the sonographer was stratified by novice (postgraduate year (PGY) years 1-3) or expert skill levels (PGY-4/fellow or attending). A total of 1,027 patients were included. Compared with concordant FAST examinations, equivocal FASTs were associated with increased HLOS (14.1 vs 10.6, P = 0.05), higher mortality (9.8 vs 3.7%, P = 0.02), decreased positive predictive value in the right upper quadrant (RUQ) (55 vs 79%, P = 0.02) and left upper quadrant (LUQ) (50 vs 83%, P < 0.01) and significantly decreased specificity in the thoracic (83 vs 98%), RUQ (80 vs 98%), LUQ (86 vs 99%), and pelvic (88 vs 98%) windows (P < 0.01 for all). A trend of greater positive predictive value in the thoracic window (100 vs 81%, P = 0.09) among PGY-4/fellow and attending providers compared with PGY levels 1-3 was observed. Equivocal FASTs portend worse outcomes than concordant FASTs because of high false-negative rates, specifically in the thoracic region and the upper quadrants. Lower thresholds for intervention are recommended.
[Mh] Termos MeSH primário: Traumatismos Abdominais/diagnóstico por imagem
Ressuscitação
Ferimentos não Penetrantes/diagnóstico por imagem
[Mh] Termos MeSH secundário: Traumatismos Abdominais/mortalidade
Traumatismos Abdominais/terapia
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Competência Clínica
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Estudos Retrospectivos
Sensibilidade e Especificidade
Resultado do Tratamento
Ultrassonografia
Ferimentos não Penetrantes/mortalidade
Ferimentos não Penetrantes/terapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29382004
[Au] Autor:Lim KH; Jang J; Yoon HY; Park J
[Ad] Endereço:Department of Surgery, Trauma Center, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, South Korea.
[Ti] Título:Acute superior mesenteric vein thrombosis associated with abdominal trauma: A rare case report and literature review.
[So] Source:Medicine (Baltimore);96(47):e8863, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Acute mesenteric vein thrombosis (MVT) is defined as new-onset thrombosis of the mesenteric vein without evidence of collateralization, finally resulting in extensive intestinal infarction. MVT may be idiopathic or be caused by conditions responsible for thrombophilia and acquired risk factors. To date, there have been few reports of MVT after trauma. Herein we describe our experiences treating three patients with MVT. PATIENT CONCERNS: Case 1 was a 44-year-old man with transverse colon mesenteric hematoma after blunt abdominal trauma. Case 2 was a 55-year-old man with jejunal transection after a traffic accident. Case 3 was a 26-year-old man presented with multiple abdominal stab bowel injury. DIAGNOSES: A 1-week follow-up abdominal computed tomography scan showed superior mesenteric vein thrombosis in all of three patients. INTERVENTIONS: All patients were treated with anticoagulant for 3 or 6 months. OUTCOMES: MVTs were completely resolved without any complications. LESSONS: If early diagnosis and treatment could be available, anticoagulation alone might be adequate for the treatment of SMVT associated with trauma. Early anticoagulation in patients with acute SMVT may avoid the grave prognosis observed in patients with arterial thrombosis.
[Mh] Termos MeSH primário: Traumatismos Abdominais/complicações
Oclusão Vascular Mesentérica/etiologia
Trombose Venosa/etiologia
Ferimentos não Penetrantes/complicações
[Mh] Termos MeSH secundário: Doença Aguda
Adulto
Seres Humanos
Masculino
Oclusão Vascular Mesentérica/tratamento farmacológico
Veias Mesentéricas
Meia-Idade
Trombose Venosa/tratamento farmacológico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008863


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[PMID]:28467575
[Au] Autor:Yücel M; Özpek A; Tolan HK; Basak F; Bas G; Ünal E; Alimoglu O
[Ad] Endereço:Department of General Surgery, Ümraniye Training and Research Hospital, Istanbul-Turkey. drmetin69@mynet.com.
[Ti] Título:Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):107-111, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Stab wounds in the left thoracoabdominal region may cause diaphragmatic injury. The aim of the present study was to determine incidence of diaphragmatic injury and role of diagnostic laparoscopy in detection of injury in patients with left thoracoabdominal stab wound. METHODS: Total of 81 patients (75 male, 6 female; mean age 27.5±9.8 years; range 14 to 60 years) who presented with left thoracoabdominal stab wound between April 2009 and September 2014 were evaluated. Laparotomy was performed on patients who had hemodynamic instability, signs of peritonitis, or organ evisceration. Remaining patients were followed conservatively. After 48 hours, diagnostic laparoscopy was performed on patients without laparotomy indication to examine the left diaphragm for injury. Follow-up and treatment findings were prospectively evaluated. RESULTS: Thirteen patients underwent laparotomy while diagnostic laparoscopy was performed on remaining 68 patients. Left diaphragmatic injury was observed in 19 patients (23.5%) in the study group. Four injuries were diagnosed by laparotomy and 15 were diagnosed by laparoscopy. Presence of hemopneumothorax did not yield difference in incidence of diaphragmatic injury (p=0.131). No significant difference was detected in terms of diaphragmatic injury with respect to entry site of stab wound in the thoracoabdominal region (p=0.929). CONCLUSION: It is important to evaluate the diaphragm in left thoracoabdominal stab injuries, and diagnostic laparoscopy is still the safest and most feasible method.
[Mh] Termos MeSH primário: Traumatismos Abdominais
Diafragma
Laparoscopia
Traumatismos Torácicos
Ferimentos Perfurantes
[Mh] Termos MeSH secundário: Traumatismos Abdominais/diagnóstico
Traumatismos Abdominais/epidemiologia
Traumatismos Abdominais/cirurgia
Adolescente
Adulto
Diafragma/lesões
Diafragma/cirurgia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Traumatismos Torácicos/diagnóstico
Traumatismos Torácicos/epidemiologia
Traumatismos Torácicos/cirurgia
Ferimentos Perfurantes/diagnóstico
Ferimentos Perfurantes/epidemiologia
Ferimentos Perfurantes/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.91043


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[PMID]:29224655
[Au] Autor:Martin JG; Kassin M; Park P; Ermentrout RM; Dariushnia S
[Ad] Endereço:Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, GA. Electronic address: jonathan.martin2@emory.edu.
[Ti] Título:Evaluation and Treatment of Blunt Pelvic Trauma.
[So] Source:Tech Vasc Interv Radiol;20(4):237-242, 2017 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Trauma is a significant contributor to mortality, especially in the young. Pelvic trauma with pelvic ring fractures may result in associated arterial injury, necessitating endovascular intervention. As a result, interventional radiology plays a critical role in partnering with trauma providers in the care of these patients. Management is determined by the acuity of the patient's clinical status, radiographs, ultrasound, and the results of computed tomography imaging when available. Numerous embolic agents are available for treatment of arterial hemorrhage.
[Mh] Termos MeSH primário: Traumatismos Abdominais/terapia
Embolização Terapêutica/métodos
Procedimentos Endovasculares/métodos
Ossos Pélvicos/lesões
Pelve/irrigação sanguínea
Radiografia Intervencionista
Lesões do Sistema Vascular/terapia
Ferimentos não Penetrantes/terapia
[Mh] Termos MeSH secundário: Traumatismos Abdominais/diagnóstico por imagem
Traumatismos Abdominais/fisiopatologia
Adolescente
Idoso
Angiografia Digital
Angiografia por Tomografia Computadorizada
Embolização Terapêutica/efeitos adversos
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/instrumentação
Feminino
Fraturas Ósseas/diagnóstico por imagem
Fraturas Ósseas/fisiopatologia
Hemodinâmica
Seres Humanos
Ossos Pélvicos/diagnóstico por imagem
Fluxo Sanguíneo Regional
Stents
Resultado do Tratamento
Ultrassonografia
Lesões do Sistema Vascular/diagnóstico por imagem
Lesões do Sistema Vascular/fisiopatologia
Ferimentos não Penetrantes/diagnóstico por imagem
Ferimentos não Penetrantes/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


  7 / 11827 MEDLINE  
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[PMID]:29273706
[Au] Autor:Taqi KM; Nassr MM; Al Jufaili JS; Abu-Qasida AI; Mathew J; Al-Qadhi H
[Ad] Endereço:Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
[Ti] Título:Delayed Diagnosis of Ureteral Injury Following Penetrating Abdominal Trauma: A Case Report and Review of the Literature.
[So] Source:Am J Case Rep;18:1377-1381, 2017 Dec 23.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature. CASE REPORT A 29-year-old woman presented to our hospital with a missed ureteral injury following a self-inflicted gunshot injury to the abdomen. She underwent abdominal computed tomography (CT) imaging and a retrograde pyelogram, which showed complete transection of the left upper ureter with contrast extravasation and the formation of a large urinoma. She underwent a percutaneous nephrostomy and drainage of the urinoma. An end-to-end ureteric anastomosis with excision of the intervening injured ureter, or ureteroureterostomy, was performed three weeks following the diagnosis. CONCLUSIONS Ureteral injuries following trauma are rare, but a delay in diagnosis can be associated with clinical morbidity. A high index of clinical suspicion is important for early identification of ureteral injury in cases of acute abdominal trauma.
[Mh] Termos MeSH primário: Traumatismos Abdominais/complicações
Ureter/lesões
Ferimentos por Arma de Fogo/complicações
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Tardio
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171224
[St] Status:MEDLINE


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[PMID]:29187916
[Au] Autor:Choua O; Rimtebaye K; Yamingue N; Moussa K; Kaboro M
[Ad] Endereço:Département de Chirurgie, Faculté des Sciences de la Santé Humaine BP 1117 N'Djaména, Tchad.
[Ti] Título:[Epidemiological, clinical and therapeutic aspects of blunt abdominal trauma in patients undergoing surgery at the General Hospital of National Reference of N'Djamena, Chad: about 49 cases].
[Ti] Título:Aspects des traumatismes fermés de l'abdomen opérés à l'Hôpital Général de Référence Nationale de N'Djaména (HGRN), Tchad: à propos de 49 cas..
[So] Source:Pan Afr Med J;26:50, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Introduction: Blunt abdominal traumas are common. Methods: We retrospectively reviewed the medical records of 49 patients with blunt abdominal trauma who underwent surgery at the General Hospital of National Reference of N'Djamena, Chad over a period of 5 years. Epidemiological, clinical and therapeutic parameters of patients were studied. Results: The study included 42 men and 7 women, mean age 21.3 years. The causes of blunt abdominal traumas were: road traffic accidents in 61.2% of cases; wall collapses (14.3%); assaults (8.2%). Blunt abdominal traumas were more frequent in August (14.28%) and October (16.32%). The waiting time for admission in hospital was 6-12h in 43% of cases. At discharge, wounded patients used private car in 85.7% of cases. Clinically, patients were often hemodynamically stable (55.1%). Medical imaging was dominated by direct radiography of the abdomen (57.1%). The most observed lesions were those located only in the small intestine (16.32%) or related to that of the bladder (8.16%) and spleen (2.04%). Laparotomy was negative in 6.12% of cases. Morbidity (12.2%) was dominated by abdominal wall abscess. Mortality rate was 6.1%. Conclusion: Road traffic accidents are the leading cause of blunt abdominal traumas. It is important to minimize delays in diagnosis, and treatment. Road safety measures should be implemented to prevent accidents.
[Mh] Termos MeSH primário: Traumatismos Abdominais/cirurgia
Acidentes de Trânsito/estatística & dados numéricos
Laparotomia
Ferimentos não Penetrantes/cirurgia
[Mh] Termos MeSH secundário: Traumatismos Abdominais/diagnóstico
Traumatismos Abdominais/epidemiologia
Parede Abdominal/patologia
Abscesso/diagnóstico
Abscesso/epidemiologia
Adulto
Chade/epidemiologia
Feminino
Hospitais Gerais
Seres Humanos
Masculino
Estudos Retrospectivos
Fatores de Tempo
Violência/estatística & dados numéricos
Ferimentos não Penetrantes/diagnóstico
Ferimentos não Penetrantes/enzimologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.50.8327


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[PMID]:29180180
[Au] Autor:Khan M; Jehan F; O'Keeffe T; Pandit V; Kulvatunyou N; Tang A; Gries L; Joseph B
[Ad] Endereço:Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, University of Arizona, Tucson, Arizona.
[Ti] Título:Primary repair for pediatric colonic injury: Are there differences among adult and pediatric trauma centers?
[So] Source:J Surg Res;220:176-181, 2017 Dec.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Management of colonic injuries (colostomy [CO] versus primary anastomosis [PA]) among pediatric patients remains controversial. The aim of this study was to assess outcomes in pediatric trauma patient with colonic injury undergoing operative intervention. METHODS: The National Trauma Data Bank (2011-2012) was queried including patients with isolated colonic injury undergoing exploratory laparotomy with PA or CO with age ≤18 y. Missing value analysis was performed. Patients were stratified into two groups: PA and CO. Outcome measures were mortality, in-hospital complications, and hospital length of stay. Multivariate regression analysis was performed. RESULTS: A total of 1151 patients included. Mean ± standard deviation age was 11.61 ± 2.8 y, and median [IQR] Injury Severity Score was 12 [8-16]; 39% (n = 449) of the patients had CO, and 35.6% (n = 410) were managed in pediatric trauma centers (PC). Patients with CO had a higher Injury Severity Score (P < 0.001), a trend toward lower blood pressure (P = 0.40), and an older age (P < 0.001). There was no difference in mortality between the PA and CO groups. However, patients who underwent PA had a shorter length of stay (P < 0.001) and lower in-hospital complications (P < 0.001). A subanalysis shows that, after controlling for all confounding factors, patients managed in PC were 1.2 times (1.2 [1.1-2.1], P = 0.04) more likely to receive a CO than those patients managed in adult trauma centers (AC). Moreover, there was no difference in mortality between the AC and the PC (P = 0.79). CONCLUSIONS: Our data demonstrate no difference in mortality in pediatric trauma patients with colonic injury who undergo primary repair or CO. However, adult trauma centers had lower rates of CO performed as compared to a similar cohort of patients managed in pediatric trauma centers. Further assessment of the reasons underlying such differences will help improve patient outcomes.
[Mh] Termos MeSH primário: Traumatismos Abdominais/cirurgia
Colo/lesões
Colostomia/estatística & dados numéricos
Medicina de Emergência Pediátrica/estatística & dados numéricos
Centros de Traumatologia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Anastomose Cirúrgica/estatística & dados numéricos
Criança
Colo/cirurgia
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  10 / 11827 MEDLINE  
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[PMID]:29183519
[Au] Autor:Feliciano DV
[Ti] Título:Abdominal Trauma Revisited.
[So] Source:Am Surg;83(11):1193-1202, 2017 Nov 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although abdominal trauma has been described since antiquity, formal laparotomies for trauma were not performed until the 1800s. Even with the introduction of general anesthesia in the United States during the years 1842 to 1846, laparotomies for abdominal trauma were not performed during the Civil War. The first laparotomy for an abdominal gunshot wound in the United States was finally performed in New York City in 1884. An aggressive operative approach to all forms of abdominal trauma till the establishment of formal trauma centers (where data were analyzed) resulted in extraordinarily high rates of nontherapeutic laparotomies from the 1880s to the 1960s. More selective operative approaches to patients with abdominal stab wounds (1960s), blunt trauma (1970s), and gunshot wounds (1990s) were then developed. Current adjuncts to the diagnosis of abdominal trauma when serial physical examinations are unreliable include the following: 1) diagnostic peritoneal tap/lavage, 2) surgeon-performed ultrasound examination; 3) contrast-enhanced CT of the abdomen and pelvis; and 4) diagnostic laparoscopy. Operative techniques for injuries to the liver, spleen, duodenum, and pancreas have been refined considerably since World War II. These need to be emphasized repeatedly in an era when fewer patients undergo laparotomy for abdominal trauma. Finally, abdominal trauma damage control is a valuable operative approach in patients with physiologic exhaustion and multiple injuries.
[Mh] Termos MeSH primário: Traumatismos Abdominais/cirurgia
[Mh] Termos MeSH secundário: Traumatismos Abdominais/diagnóstico
Traumatismos Abdominais/etiologia
Drenagem/métodos
Duodeno/lesões
Hemodinâmica/fisiologia
Seres Humanos
Laparotomia/métodos
Fígado/lesões
Pâncreas/lesões
Ressuscitação/métodos
Baço/lesões
Ferimentos não Penetrantes/diagnóstico
Ferimentos não Penetrantes/etiologia
Ferimentos não Penetrantes/cirurgia
Ferimentos Penetrantes/diagnóstico
Ferimentos Penetrantes/etiologia
Ferimentos Penetrantes/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE



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