摘要:

This article presents a simplified, direct way of measuring tissue pressure and shows that in a series of 45 patients with serious extremity injuries, it is possible to predict the need for fasciotomy, eliminating much of the risk to the patient.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Thirty consecutive patients sustaining splenic injury from blunt abdominal trauma were evaluated as to the feasibility of performing splenorrhaphy rather than splenectomy. Twenty-four patients were over 14 years of age. The procedure to be performed was decided intraoperatively. Twelve patients required a splenectomy, and 18 patients had all or a portion of the injured spleen salvaged. The two groups were similar in age, mechanism of injury, and associated injuries. Nine of the 18 salvaged spleens required only debridement and the topical application of Avitene for hemostasis. The remaining nine patients required more extensive procedures including hemisplenectomy (three) and partial splenectomy (three); three patients required oversewing of bleeding splenic surfaces and the ligation of vessels without removal of splenic tissue. There were no differences in the number of blood transfusions required by the two groups. There were no postoperative complications resulting from the splenorrhaphy. Sixteen of the 18 who underwent splenorrhaphy were studied postoperatively by spleen scan. In all cases functioning splenic tissue was found consistent with the operative findings and procedure.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A 25-year-old man underwent splenorrhaphy for a laceration of the inferior pole following blunt trauma. After 5 weeks of uneventful convalescence re-exploration was necessary for delayed formation of a perisplenic hematoma. We conclude that spleen repair is justified in the adult patient with simple injury to the poles of the organ. Careful selection and followup are essential for patients who undergo splenorrhaphy.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A case of liquid propane cold injury is described. This injury was produced by evaporative heat loss, without ignition, from skin and underlying tissues. The cutaneous appearance was that of a flame burn but underlying deep tissue damage was present. Acute vascular compromise and progressive wound sepsis were complications which required surgical intervention. A liquid propane animal model was created which defined the pathophysiology of the clinical injury. The potential for this injury exists wherever volatile liquified gases are used.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A patient with a traumatic extrarenal arteriovenous fistula underwent successful repair of the lesion. The reconstruction utilized a portion of renal vein to allow lateral repair of the renal artery. The patient's postoperative course was complicated by paradoxical hypertension and severe abdominal pain like that in the “post-coarctectomy syndrome.” Satisfactory recovery has occurred and the patient remains normotensive.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A case of false aneurysm of the common carotid artery after blunt trauma is described. We found seven other such cases in the literature. The literature is reviewed and it is concluded that this rare injury should be operated on as soon as the diagnosis has been made. Lateral excision and arteriorrhaphy, or aneurysm resection in larger lesions, are recommended.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Traumatic abdominal hernias are rare, but are easily missed in patients with multiple injuries in whom life-threatening injuries take precedence. A case is reported in which difficulty was experienced with closure of the abdominal wall; at re-exploration a diagnosis of abdominal hernia was made, and a tear in the retroperitoneum with herniation of 2 feet of small bowel on the right side of the abdomen found. The hernia was reduced and the patient's recovery was uneventful. In all cases of celiotomy for trauma, complete exploration of the abdomen should be performed before closure to assure normal anatomic relationships of all structures.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID