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"Trauma" AND ("Blunt" OR "Penetrating")

Hsing-Lin LinMD, Yih-Wen Tarng, Tung-Ho WuMD, Fong-Dee Huang, Wen-Yen Huang, Yi-Pin ChouMD
BACKGROUND: Serious blunt chest trauma usually induces hemothorax, pneumothorax, and rib fracture. Early video-assisted thoracoscopic surgery (VATS) to evacuate retained hemothorax is one commonly used treatment. In this study, a new strategy was implemented to combine VATS with fractured rib fixation simultaneously. METHODS: This prospective observational study was performed from January 2013 to April 2018. All patients were aged 18 years or older and had blunt chest trauma with displaced fractures in more than three ribs...
March 13, 2019: International Journal of Surgery
Konstantinos Mantsopoulos, Heinrich Iro, Jannis Constantinidis
The aim of this study was to investigate the role of the Zisser flap in the reconstruction of defects of the oral commissure. We describe our personal experience with this method and present some interesting aspects from the relevant literature. We retrospectively evaluated the records, from the period between 2003 and 2017, of all patients with defects of the oral commissure after resection of malignant tumors, traumas, or burns and reconstruction by means of the Zisser flap. We looked for information on the origin of the commissural defect, method of vermillion reconstruction using the lingual or buccal mucosa, functional result, esthetic outcome, and postoperative complications...
February 19, 2019: Journal of Oral and Maxillofacial Surgery
Christopher P Foran, Damon H Clark, Reynold Henry, Priti Lalchandani, Dennis Y Kim, Brant A Putnam, Morgan Schellenberg, Christianne J Lane, Kenji Inaba, Demetrios G Demetriades
BACKGROUND: Gunshot wound (GSW) injuries present a unique surgical challenge. This study explored the financial and clinical burdens of GSW victims across two Los Angeles County Level I trauma centers over the last 12 years and compared them to other forms of interpersonal injury (OIPI). STUDY DESIGN: This was a retrospective study of patients presenting as the victim GSW and OIPI (defined as combined stab wound or blunt assault) between 1/1/2006 until 3/30/2018 at LAC+USC Medical Center (LAC+USC) and Harbor UCLA Medical Center (HUCLA)...
March 13, 2019: Journal of the American College of Surgeons
S Yoshihara, S Baba, A Kanemaru, T Ichikawa
INTRODUCTION: Penetrating craniofacial injuries caused by stick-like foreign bodies occur as a result of accidents particularly in children, and often lead to significant morbidity. CASE SUMMARY: We describe a 5-year-old boy who sustained facial trauma after falling on a wooden stick which penetrated his left cheek. At the initial visit, his vital and neurological signs were normal. However, the stick had penetrated the frontal lobe to a depth of 3cm via the orbital cavity and the anterior skull base...
March 13, 2019: European Annals of Otorhinolaryngology, Head and Neck Diseases
Weiping Lei, Jing Yu, Yaqin Huang, Li Zhao, Jianliang Sun
No abstract text is available yet for this article.
March 14, 2019: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Duraid Younan, Joshua Richman, Ahmed Zaky, Jean-Francois Pittet
Background: Although the association of neutrophil proportions with mortality in trauma patients has recently been shown, there is a paucity of research on the association with other outcomes. We sought to investigate the association of neutrophil proportions with organ failure in critically-ill trauma patients. Methods: We reviewed a randomly-selected group of trauma patients admitted to our level-1 trauma intensive care unit between July 2007 and December 2016. Data collected included demographics, injury mechanism and severity (ISS), neutrophil-to-lymphocyte ratio (NLR) at admission and at 24 and 48 hours and organ failure data...
March 14, 2019: Healthcare (Basel, Switzerland)
Tiffany Y So, Andrew Dixon, Helen Kavnoudias, Eldho Paul, William Maclaurin
INTRODUCTION: The aim of this study was to assess the association between intrasinus gas and dural venous sinus thrombosis (DVST) in patients with blunt head trauma. METHODS: One hundred and two consecutive patients with blunt head trauma imaged with non-enhanced CT and CT head venography at our institution between 1 July 2011 and 30 June 2016 were included. Image review was performed by two independent reviewers to assess for the presence of intrasinus or perisinus gas and DVST...
March 15, 2019: Journal of Medical Imaging and Radiation Oncology
Annelise Maree Cocco, Savitha Bhagvan, Clare Bouffler, Jeremy Hsu
BACKGROUND: Penetrating abdominal trauma is uncommon in Australia. There are multiple potential approaches to the patient without an indication for immediate laparotomy. This study examined the management of patients with a penetrating anterior abdominal injury in a Level 1 trauma centre, and in particular investigated the outcomes of those patients who underwent diagnostic laparoscopy. METHODS: A retrospective review was undertaken of all patients presenting to a Level 1 trauma centre with an anterior abdominal stab wound over a 15-year period...
March 14, 2019: ANZ Journal of Surgery
Kimberly Matheson, Mindi D Foster, Amy Bombay, Robyn J McQuaid, Hymie Anisman
Perceived discrimination has consistently been shown to be associated with diminished mental health, but the psychological processes underlying this link are less well understood. The present series of four studies assessed the role of a history traumatic events in generating a proliferation of discrimination stressors and threat appraisals, which in turn predict psychological distress (depressive and posttraumatic stress symptoms) (mediation model), or whether prior traumatic events sensitize group members, such that when they encounter discrimination, the link to stress-related symptoms is heightened (moderation model)...
2019: Frontiers in Psychology
Tian Liang, Eric Roseman, Melanie Gao, Richard Sinert
OBJECTIVE: To evaluate the utility of the Point of Care Ultrasound (POCUS) Focused Assessment with Sonography for Trauma (FAST) examination for diagnosis of intra-abdominal injury (IAI) in children presenting with blunt abdominal trauma. METHODS: We searched medical literature from January 1966 to March 2018 in PubMed, EMBASE, and Web of Science. Prospective studies of POCUS FAST examinations in diagnosing IAI in pediatric trauma were included. Sensitivity, specificity, and likelihood ratios (LR) were calculated using a random-effects model (95% confidence interval)...
March 12, 2019: Pediatric Emergency Care
Mathias Møller Thygesen, Henrik Lauridsen, Michael Pedersen, Dariusz Orlowski, Trine Werenberg Mikkelsen, Mikkel Mylius Rasmussen
A randomized controlled and blinded animal trial was conducted in the axolotl ( Ambystoma mexicanum ), which has the ability to regenerate from transectional spinal cord injury (SCI). The objective of the present study was to investigate the axolotl's ability to regenerate from a blunt spinal cord trauma in a clinical setting. Axolotls were block-randomized to the intervention (n=6) or sham group (n=6). A laminectomy of two vertebrae at the level caudal to the hind limbs was performed. To induce a blunt SCI, a 25 g rod was released on the exposed spinal cord...
March 2019: Experimental and Therapeutic Medicine
Sorena Keihani, Bryn E Putbrese, Douglas M Rogers, Chong Zhang, Raminder Nirula, Xian Luo-Owen, Kaushik Mukherjee, Bradley J Morris, Sarah Majercik, Joshua Piotrowski, Christopher M Dodgion, Ian Schwartz, Sean P Elliott, Erik S DeSoucy, Scott Zakaluzny, Brenton G Sherwood, Bradley A Erickson, Nima Baradaran, Benjamin N Breyer, Cameron N Fick, Brian P Smith, Barbara U Okafor, Reza Askari, Brandi Miller, Richard A Santucci, Matthew M Carrick, Jurek F Kocik, Timothy Hewitt, Frank N Burks, Marta E Heilbrun, Jeremy B Myers
BACKGROUND: Indications for intervention after high-grade renal trauma (HGRT) remain poorly defined. Certain radiographic findings can be used to guide the management of HGRT. We aimed to assess the associations between initial radiographic findings and interventions for hemorrhage after HGRT and to determine hematoma and laceration sizes predicting interventions. METHODS: The Genito-Urinary Trauma Study is a multi-center study including HGRT patients from 14 Level-1 trauma centers from 2014-2017...
March 8, 2019: Journal of Trauma and Acute Care Surgery
Fidel Hernandez, Chiara Giordano, Maged Goubran, Sherveen Parivash, Gerald Grant, Michael Zeineh, David Camarillo
Corpus callosum trauma has long been implicated in mild traumatic brain injury (mTBI), yet the mechanism by which forces penetrate this structure is unknown. We investigated the hypothesis that coronal and horizontal rotations produce motion of the falx cerebri that damages the corpus callosum. We analyzed previously published head kinematics of 115 sports impacts (2 diagnosed mTBI) measured with instrumented mouthguards and used finite element (FE) simulations to correlate falx displacement with corpus callosum deformation...
March 12, 2019: Biomechanics and Modeling in Mechanobiology
Anna N Romagnoli, Joseph Dubose
Blunt thoracic aortic injury (BTAI) represents an infrequently encountered but lethal traumatic injury. Minimal aortic injuries are appropriately treated by medical management, while more severe injuries require endovascular or open repair. Rapidly evolving endovascular technology has largely supplanted open repair as first line operative intervention, however, the complexity of the severely injured blunt trauma patient can complicate management decisions. The development and implementation of an optimal consensus grading system and treatment algorithm for the management of BTAI is necessary and will require multi-institutional study...
February 21, 2019: Journal of Cardiovascular Surgery
Brice Malgras, Olivier Aoun, Ghislain Pauleau, Guillaume Boddaert, Emmanuel Hornez, Renaud Dulou, Jean-Marc Delmas, Pierre Haen, Sophie Laversanne, Anna Crambert, Paul Balandraud
INTRODUCTION: The military operations carried out by the French armed forces, occasionally require the use of the Surgical Life-saving Module (SLM), to ensure the surgical support of its soldiers. Due to its extreme mobility and capacity of fast deployment, SLM is particularly useful in small-scale military operations, such as Special Forces missions. In 2017, the French SLM was for the first time used to ensure surgical support of allied forces, which were lacking forward surgical capabilities...
March 4, 2019: Injury
Erol Kohli, Ugyen Tshering
No abstract text is available yet for this article.
March 5, 2019: Journal of Emergency Medicine
Joel R Palko, Safa Arfeen, Asim V Farooq, Catherine Reppa, George J Harocopos
A 64-year-old Caucasian man had been diagnosed with presumed ocular surface squamous neoplasia in the left eye and started on topical interferon alpha 2b drops. When we saw him, he provided a history of penetrating corneal injury more than forty years prior. Slit lamp examination revealed a large, elevated, opaque lesion involving the left cornea. High-definition AS-OCT revealed a hyper-reflective lesion involving the anterior stroma with a relatively normal overlying epithelium. Based on the clinical history, slit lamp, and AS-OCT findings, a giant corneal keloid was suspected, and the interferon drops were discontinued...
March 5, 2019: Survey of Ophthalmology
Sten Saar, Tuomas Brinck, Juhan Laos, Lauri Handolin, Peep Talving
PURPOSE: Evolving trauma system of Estonia has undergone several reforms; however, performance and outcome indicators have not been benchmarked previously. Thus, we initiated a baseline study to compare demographics, management and outcomes of severely injured patients between Southern Finland and Northern Estonia utilizing regional trauma repositories. METHODS: A comparison of data fields of the Helsinki University Hospital trauma registry (HTR) and trauma registry at the North Estonia Medical Centre in Tallinn (TTR) between 1/1/2015 and 31/12/2016 was performed...
January 5, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Alain J Azzi, Rajeet Saluja, Peter Mankowski, Susan Wakil, Bryan Arthurs, Lucie Lessard
Retained cranial blade injuries are uncommon events lacking standardized recommendations for appropriate surgical extraction. The authors present a case of a 30-year-old male who sustained a penetrating blade injury of the left orbit with intracranial extension through the skull base into the temporal lobe. The patient walked to the emergency room and remained alert. Clinically, the patient had only a small laceration of the left upper eyelid with no gross visual impairment.The radiological investigation confirmed the presence of a knife blade in the orbit...
February 9, 2019: Journal of Craniofacial Surgery
Jonathan Nguyen, Christian Bramwell, Maaz Sheikh, Crystal Koerner, Yasmin Tootla, Aviva Bashan, Omar K Danner, L Ray Matthews, Assad Taha, Ed Childs, Peter M Rhee, Bryan C Morse
No abstract text is available yet for this article.
August 1, 2018: American Surgeon
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