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Role of preoperative CT imaging in penetrating thoraco-abdominal injuries: A multicenter study of urban trauma centers.
Am J Surg
January 2025
Department of Surgery, Division of Trauma and Surgical Critical Care, Drexel College of Medicine, Philadelphia, PA, USA; ChristianaCare Health System, Newark, DE, USA. Electronic address:
Introduction: Management of penetrating thoracoabdominal (PTA) injuries with signs of hemorrhage have warranted operative intervention but improved imaging capabilities have redefined interventions required. We examined outcomes of hemodynamically stable patients undergoing preoperative CT imaging with the hypothesis that CT imaging would decrease OR time without delaying OR arrival.
Methods: A retrospective multicenter study was performed amongst four urban trauma centers examining hemodynamically stable patients with PTA injuries requiring operative intervention from January 2017-December 2021.
A rare case of endoscopic removal of the metal fragment from the segmental bronchus after gunshot injury to the chest in combat patient injured in the war in Ukraine.
Int J Surg Case Rep
October 2024
National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine; Department of Healthcare, Faculty of Postgraduate Education, Kyiv Agrarian University, Kyiv, Ukraine; Department of Surgery, Verum Expert Clinic, Kyiv, Ukraine. Electronic address:
Article Synopsis
- The Russo-Ukrainian war has resulted in serious chest injuries, particularly from gunshot wounds, leading to high mortality and disability rates.
- A case involving a 44-year-old male injured by artillery demonstrated successful endoscopic removal of a metal fragment from the bronchus using forceps, highlighting challenges in managing such complex injuries.
- The study concludes that minimally invasive techniques in treating gunshot injuries to the chest improve patient outcomes by reducing surgical trauma and operation time.
Management of gunshot injury to the abdominal aorta and inferior vena cava: a case report of a combat patient wounded in the Russo-Ukrainian war.
Int J Emerg Med
September 2024
National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.
Article Synopsis
- * The inferior vena cava (IVC) is the most commonly damaged abdominal vein, highlighting the need for quick surgical interventions in these cases.
- * A case study of a 44-year-old Ukrainian soldier illustrates the importance of prompt surgical treatment for abdominal gunshot wounds, showcasing successful damage control and repair of vascular injuries during military operations.
Role of laparoscopic surgery in managing hemodynamically stable abdominal trauma patients: a single level I trauma center, propensity score matching study.
Eur J Trauma Emerg Surg
October 2024
Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Article Synopsis
- The study investigates the effectiveness and safety of laparoscopy in treating blunt and penetrating abdominal injuries, addressing previous uncertainties regarding its use in blunt trauma cases.
- Researchers analyzed medical records from a single center over a five-year period, comparing outcomes between patients treated with laparoscopy and those who underwent laparotomy, matching them for demographic factors.
- Results showed that laparoscopy had lower rates of severe complications, shorter ICU stays, and quicker operation times compared to laparotomy, with no missed injuries reported, indicating it is a viable option for stable trauma patients.
Behind Armor Blunt Trauma: Liver Injuries Using a Live Animal Model.
Mil Med
August 2024
Injury Biomechanics and Protection Group, U.S. Army Aeromedical Research Laboratory, Fort Novosel, AL 36362, USA.
Introduction: While the 44-mm clay penetration criterion was developed in the 1970s for soft body armor applications, and the researchers acknowledged the need to conduct additional tests, the same behind the armor blunt trauma displacement limit is used for both soft and hard body armor evaluations and design considerations. Because the human thoraco-abdominal contents are heterogeneous, have different skeletal coverage, and have different functional requirements, the same level of penetration limit does not imply the same level of protection. It is important to determine the regional responses of different thoraco-abdominal organs to better describe human tolerance and improve the current behind armor blunt trauma standard.
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