with the introduction of the use of seatbelts in cars, mortality following motor vehicle crashes has decreased significantly. however, two patterns of injuries, the ‘seatbelt sign’ and ‘seatbelt syndrome’ have emerged. injuries may consist of traumatic abdominal wall disruption. we present two cases of severe abdominal wall disruption caused by a seatbelt injury and treated with primary repair....

background: blunt abdominal trauma is one of the causes of mortality in emergency department. free fluid in the abdomen due to intra-abdominal blunt trauma can be determined by the surface probe of ultrasound. since the importance of this free fluid in hemodynamic stable patients with blunt trauma is associated with the unknown outcome for surgeons, this study was performed to evaluate the role...

conclusions vacuum-assisted abdominal closure is a good technique for temporary abdominal closure. in patients who are unable to achieve fascial closure, skin closure alone is safe. results after 157 trauma laparotomies, 35 (22%) were open abdomen cases with an average injury severity score was 35. ninety-four percent of open abdomens occurred after damage-control surgery. temporary vacuum-assi...

Introduction: Trauma is an injury that occurs due to the exchange of environmental energy with the body to an extent that is unbearable. In developing countries, such as Iran, trauma, especially abdominal trauma, has become increasingly important due to the enhanced development of vehicles and industries. The present study aimed to assess the frequency of intra-abdominal visceral injury due to ...

introduction: prevalence of abdominal trauma is increasing during recent years. abdomen is the third most affected part of body by trauma. early diagnosis can help us select better methods for managing abdominal trauma. even though newer imaging techniques such as ct scan are available, abdominal trauma is still a complex matter, which every doctor in the emergency department has to deal with. ...

A gunshot wound is associated with high-energy transfer and the extent of intra-abdominal injuries is difficult to predict. The path of the missile is unpredictable and secondary missiles eg, bone fragments or fragments of the bullet can inflict other injuries. The velocity of military firearms and hunting rifles is much higher than that of civilian handguns and therefore has a much higher ener...

Whether by accident or intention, penetrating trauma can result from a wide variety of weapons or instruments, and certain elements of therapy vary accordingly. The management of patients with penetrating trauma has changed dramatically since 1960, when Shaftan introduced the concept of selective laparotomy and serial observations. Before that time, surgery was mandatory. The careful integratio...

Background Currently, almost all patients with probable abdominal injury undergo urinalysis in emergency department (ED). The present survey was conducted with the aim of assessing the diagnostic values of urinalysis compare with abdominal computed tomography (CT) scan with contrast for predicting possible intra-abdominal injuries in children affected by blunt trauma. Materials and Methods: The...

diagnostic peritoneal lavage (dpl) is considered by many as the most important investigation for the early detection of intraperitoneal injury. the aim of this study is to assess the accuracy of dpl as a diagnostic method in evaluating abdominal trauma. a prospectively maintained database of all dpls performed in the past 36 months at sina hospital was analyzed. information relative to the type...

 Abstract Background: There are a large number of patients with penetrating abdominal trauma who have normal vital signs and negative abdominal examination when referred to trauma centers. Agreat deal of controversy exists between authorities about screening these patients for emergency explorative laparotomy. Many references have reported more than 90% sensitivity for DPL as a diagnostic metho...