Isolated liver gunshot injuries: nonoperative management is feasible?

Objective: to evaluate the safety and effectiveness of non-operative management (NOM) of liver injury, being the only abdominal injury, from gunshot wounds to the abdomen.

Methods: patients who had liver damage diagnosed as single abdominal injury caused by PAF in the right thoracoabdominal region, hemodynamically stable were studied. All underwent examination with computed tomography.

Complementary exams in blunt torso trauma. Perform only radiographs and fast: is it safe?

Objective: to evaluate effectiveness of using chest X-ray (CXR), pelvis X-ray (RXP) and FAST (Focused Abdominal Sonography on Trauma) to exclude significant lesions of the body in blunt trauma.

Methods: a prospective study involving 74 patients whom made the three tests (CXR, RXP and FAST) during the initial evaluation between October 2013 and February 2014. The results were compared to the tomography of the same patients or clinical outcome.

Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients.

Objective: Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database.

Methods: Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients.

Results: The project was initiated in 2011 and from January 2013 we began collecting data for the TR.

Non operative management of renal gunshot wounds.

Objective: To analyze the experience of nonoperative management (NOM) of renal injuries caused by a firearm projectiles (FAP) in the right thoraco-abdominal region in patients with hemodynamic stability and no signs of peritoneal irritation, highlighting the assessment of the safety of this approach.

Methods: This was a prospective study with patients sustaining injuries by FAP in the right thoraco-abdominal region and kidney lesions, treated at the João XXIII Hospital (FHEMIG) in Belo Horizonte, from January 2005 to December 2012. Inclusion criteria were: hemodynamic stability, renal morphofunctional study by CT and no signs of peritoneal irritation.

Non operative management of gunshot wounds on the right thoracoabdomen.

Objective: To analyze the results after the implementation of the non-operative management (NOM) of the right upper thoracoabdominal gunshot injuries protocol.

Methods: Prospective study. From January 2005 to December 2011, 115 patients were included into this study.

[Skin-adipose tissue detachment for laparotomy closure: a simple and effective technique for a complex problem].

Objective: To describe a technique of laparotomy closure through cutaneous-adipose tissues detachment and its results.

Methods: From January 2003 to october 2008 forty patients in laparotomy (Bogota bag) were engaged in surgical procedures for closing their open abdomens according to the technique described here. Data were collected from patient records and during active search.

Non-operative management of right side thoracoabdominal penetrating injuries--the value of testing chest tube effluent for bile.

Introduction: While mandatory surgery for all thoracoabdominal penetrating injuries is advocated by some, the high rate of unnecessary operations challenges this approach. However, the consequences of intrathoracic bile remains poorly investigated. We sought to evaluate the outcome of patients who underwent non-operative management of right side thoracoabdominal (RST) penetrating trauma, and the levels of bilirubin obtained from those patients' chest tube effluent.

Helical computed tomography characteristics of splenic and hepatic trauma in children subjected to nonoperative treatment.

The purpose of this study was to present the radiological characteristics of abdominal computed tomography (CT) in the follow-up of splenic and hepatic injury in children. Children ( n=24) less than 13 years old who had suffered blunt abdominal trauma and were diagnosed with splenic and hepatic injury by CT scan prospectively were enlisted in the study. The CT was performed immediately after the injury was suspected, and 7 and 60 days after the trauma.