Missed Injuries: The Trauma Surgeon’s Nemesis
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Cited by (129)
Laparotomy for penetrating gastric trauma - A South African experience
2022, InjuryCitation Excerpt :Repair of the gastric wounds is dictated by their severity, according to the American Association for the Surgery of Trauma (AAST) grading system [5]. The current recommendations for the management of PGI suggest that surgical debridement of the edges followed by a primary repair consisting in two layers using an absorbable suture is the optimal approach [1–5]. The two layer approach is based on the gastric wall anatomy.
Acute kidney injury on presentation to a major trauma service is associated with poor outcomes
2018, Journal of Surgical ResearchManagement Issues in Critically Ill Pediatric Patients with Trauma
2017, Pediatric Clinics of North AmericaCitation Excerpt :Several factors have been identified that are associated with delayed diagnosis of injury. Included among these risk factors are an altered level of consciousness of the patient, barriers of communication between the patient and providers, the presence of multiple injuries, blunt mechanisms of injury, and admission to services other than the trauma surgery service.62,65,66 A delayed diagnosis of injury is most commonly associated with factors that prevent communication between the patient and the medical team.
Evaluation of diaphragm in penetrating left thoracoabdominal stab injuries: The role of multislice computed tomography
2015, InjuryCitation Excerpt :In other words, diagnostic laparoscopy is unnecessary in two-thirds of cases. Less invasive or non-invasive methods, such as ultrasonography, peritoneal lavage, magnetic resonance, and chest X-ray, were investigated with the view of introducing an alternative method to laparoscopy; unfortunately, none of them was sufficiently sensitive to be introduced into clinical practice [3,5,6,29–35]. The diaphragm is a moving organ with a thin and domed anatomy.
Address reprint requests to: Blaine L. Enderson, MD, FACS, Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, Tennessee 37920-6999