BACKGROUND Inability to close the abdominal wall after laparotomy for trauma may occur as a result of visceral edema, retroperitoneal hematoma, use of packing, and traumatic loss of tissue. Often life-saving, decompressive laparotomy and temporary abdominal closure require later restoration of anatomic continuity of the abdominal wall. METHODS The trauma registry, open abdomen database, and p...

Diaphragmatic hernias can be described as congenital hernias or traumatic hernias (including those following penetrating trauma, blunt trauma and unrecognized diaphragmatic rupture) [1]. A blunt trauma to chest or abdomen is the main cause of diaphragmatic injury. This injury occurs in 1.1-3.9% of the cases following a trauma [2,3]. Then, acquired diaphragmatic hernia (ADH) occurs in less than ...

INTRODUCTION Previous work suggests that patients with isolated penetrating trauma rarely require spinal immobilisation. This study aimed to identify the incidence of mechanically unstable, or potentially mechanically unstable, spinal column injuries in penetrating trauma patients. The study also aimed to identify the incidence of spinal cord injury as a result of penetrating trauma in Scotland...

The purpose of this paper is to review the diagnosis, treatment, and outcomes of penetrating bladder injuries suffered by civilians in the Iraqi war zone. Materials and Methods. All civilian trauma cases received alive at Al-Yarmouk Teaching Hospital from January 2005 to August 2006 were reviewed for the presence of bladder injury. Results. 533 cases of penetrating abdominal trauma were identif...

INTRODUCTION Delayed diagnosis of patients with severe liver injuries is associated with an adverse outcome. As computed tomographic (CT) scan is not always available in the management of blunt abdominal trauma worldwide, the present study was undertaken to determine the accuracy of selected haematological markers in predicting the presence of hepatic injury and its severity after blunt abdomin...

Diaphragmatic rupture following blunt or penetrating thoraco-abdominal trauma is frequently missed. It presents years later with herniation of abdominal viscera. Surgical treatment should be sought for when diagnosed. A 56 year old female presented to emergency with traumatic right diaphragmatic hernia, road traffic accident 8 years ago when she sustained multiple rib fractures on the right sid...

conclusions following training, ed residents can perform fast with high accuracy and specificity, similar to rr residents, in patients with blunt abdominal trauma. results the ers had reported abdominal free fluid in 20 (6.9%) patients while rrs performing fast had positive results in 22 (7.6%) patients. the reports of fasts revealed significant correlation between the two resident groups (p < ...

A diaphragmatic injury is usually associated with injury to thoracic or abdominal organs due to blunt or penetrating trauma, and is uncommon after blast injury. We describe a patient with respiratory distress due to herniation of the stomach into the chest through a diaphragmatic injury, sustained 1 year previously when he suffered a blast injury while on deployed military operations, but witho...