The necessity of urgent explorative laparotomy as a standard procedure in the treatment of abdominal penetrating wounds is controversial. Mandatory surgical intervention for penetrating abdominal trauma yields a high rate of negative laparotomies in the absence of visceral injuries. Laparoscopy is an alternative diagnostic procedure inspecting the peritoneum for signs of perforation and excludi...

The most common cause of traumatic diaphragmatic rupture is blunt or penetrating thoraco-abdominal trauma. The proper diagnosis can be difficult to make due to the non-specific clinical picture. The surgical approach in managing diaphragmatic rupture includes laparotomy, thoracotomy, or both. This article presents a case of a 60year-old woman with post-traumatic peritoneopericardial diaphragmat...

BACKGROUND Trauma, especially chest and abdominal trauma are increasing due to the growing number of vehicles on the roads, which leads to an increased incidence of road accidents. Urbanization, industrialization and additional problems are the other associated factors which accelerate this phenomenon. A better understanding of the etiology and pattern of such injuries can help to improve the m...

Traumatic diaphragmatic injuries are rare complications resulting from a thoracic-abdominal blunt or penetrating trauma. Diaphragmatic injury is entity and clinically difficult to be diagnosed as symptoms often masked due associated in poly trauma case. There no specific signs for diagnosing rupture. High degree of clinical suspicion needed all cases thoroco-abdominal diagnose case Left sided m...

Background: Abdominal injuries are increasing globally. The incidence in our environment is increasing because of crime, insurgencies and man-made disasters. Assessing the magnitude will help in proffering measures to reduce the incidence, and also improve management. Therefore, the aim was to determine the pattern of abdominal trauma, aetiology, identify commonly injured organs, as well as eva...

UNRECOGNISED ABDOMINAL trauma is one of the main causes of preventable death in severely injured patients throughout the world (American College of Surgeons Committee on Trauma (ACSCT) 2012). About one fifth of all major trauma fatalities involve trauma to organs in the abdominal cavity (Brooks et al 2004) and blunt abdominal trauma is the third most common problem encountered in trauma patient...

BACKGROUND The management of penetrating abdominal stab wounds has been the subject of continued reappraisal and controversy. In the present study a novel method which combines the use of diagnostic laparoscopy and DPL, termed laparoscopic diagnostic peritoneal lavage (L-DPL) is described METHOD Five trauma patients with penetrating injuries to the lower chest or abdomen were included. Standa...

BACKGROUND The frequency of penetrating trauma is low in Canada. Current recommendations for the care of patients with penetrating injuries originate from inner city trauma centres with a high volume of such injuries and may not apply to Canada. The purpose of this study was to review the incidence and treatment of penetrating thoracoabdominal injuries in the 4 tertiary trauma centres in Quebec...