Purpose: Delayed post-pancreatectomy hemorrhage (PPH) is still one of the most dreaded complications after pancreatic surgery. Its management is now focused on percutaneous endovascular treatments (PETs).
Methods: Between 2013 and 2019, 307 patients underwent pancreatic resection.
Purpose: We evaluated the intuition of expert pancreatic surgeons, in predicting the associated risk of pancreatic resection and compared this "intuition" to actual operative follow-up. The objective was to avoid major complications following pancreatic resection, which remains a challenge.
Methods: From January 2015 to February 2018, all patients who were 18 years old or more undergoing a pancreatic resection (pancreaticoduodenectomy [PD], distal pancreatectomy [DP], or central pancreatectomy [CP]) for pancreatic lesions were included.
Introduction: Trauma is a major cause of death worldwide, mainly affecting a young male population. Blunt trauma of the abdomen can cause a trauma of the mesentery in 5 % of cases. Rapid decelerations and injuries by seat belts are the most common pathophysiological mechanisms.
View Article and Find Full Text PDFBackground: Mechanisms of hepatic injury remain poorly understood. Surgical literature reports some speculative theories that have never been proved. The aim of this study was to examine the behavior of the liver during brutal frontal deceleration.
View Article and Find Full Text PDFBackground: Blunt traumatic aortic rupture (BTAR) is a common catastrophic injury leading to death. Considerable uncertainty remains regarding the pathogenic cause. This study examines the comportment of the heart and the aorta during a frontal deceleration.
View Article and Find Full Text PDFThis study lies within the scope of passive road safety, and more particularly injury mechanisms of the abdominal area. The finite element modeling, which makes it possible to simulate a road accident and to observe the possible bone fractures or internal tissue injuries, allows large projections in the comprehension of injury mechanisms. However, the digital models already available and used in accidentology do not offer as one very simplified description of the diaphragm, as well for its geometry as for its bracing aspect and the modifications that this could induce in the behavior of abdominal organs and vessels at impact.
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