The presentation of traumatic abdominopelvic injuries in sport can range from initially benign appearing to hemorrhagic shock. A high clinical suspicion for injury, knowledge of the red flags for emergent further evaluation, and familiarity with the initial stabilization procedures are necessary for sideline medical providers. The most important traumatic abdominopelvic topics are covered in this article. In addition, the authors outline the evaluation, management, and return-to-play considerations for the most common abdominopelvic injuries, including liver and splenic lacerations, renal contusions, rectus sheath hematomas, and several others.
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http://dx.doi.org/10.1016/j.csm.2023.02.006 | DOI Listing |
Am J Surg
December 2024
Division of Trauma, Emergency Surgery & Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA. Electronic address:
Background: Intraoperative adverse events (iAEs) during general surgery can lead to significant morbidity and healthcare burden, yet their impact remains underexplored. We aimed to estimate the nationwide incidence of iAEs in general surgery and explore their associations with mortality, complications, length of stay, and costs.
Methods: We conducted a retrospective cohort study using the Nationwide Readmissions Database 2019 and included adult patients (aged 18 years and older) who underwent general surgical procedures.
J Trauma Acute Care Surg
January 2025
From the Division of Vascular and Endovascular Trauma Surgery (R.K., N.K.D., E.J.L., T.M.S.), Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Maryland; and Riverside University Health System (N.K.D.), Moreno Valley, California.
Background: Vascular surgery board eligibility may be secured through 5+0 integrated programs (IV) as well as 5+2 general surgery/vascular fellowship pathway (VF). We hypothesized that IV graduates accrue less experience relevant to vascular trauma than VF graduates. We assessed the first decade of IV graduate experience and compared it to contemporaneous VF graduates.
View Article and Find Full Text PDFCureus
October 2024
Internal Medicine, County Emergency Clinical Hospital of Targu Mures, Targu Mures, ROU.
Although thrombotic events are uncommon in young individuals, patients with genetic mutations in coagulation factors may develop extensive multisite thrombosis. We present the case of a 26-year-old patient, a smoker for nine years, who was admitted to the hospital complaining of right thigh pain with swelling, right flank abdominal pain, dyspnea, and hemoptysis. A medical history provided by the patient indicated that one month prior to presentation, an accidental fall had resulted in multiple rib fractures, bilateral hemopneumothorax, and pneumomediastinum.
View Article and Find Full Text PDFCurr Probl Diagn Radiol
October 2024
Boston Medical Center, Department of Radiology, Boston, MA, United States.
Purpose: To assess the clinical utility of pelvic computed tomography angiography (CTA) in predicting the need for intervention following blunt traumatic pelvic vascular injury, independent of other trauma severity assessment metrics.
Materials And Methods: This retrospective study was IRB approved and HIPAA compliant; informed consent was waived. Eligible patients presented with blunt abdominopelvic trauma and underwent triple-phase pelvic CTA on admission from 1/1/2006 - 8/31/2019.
Wounds
October 2024
Department of Precision and Regenerative Medicine of the Ionian Area, Division of Plastic and Reconstructive Surgery, University of Bari Aldo Moro, Bari, Italy.
Background: Negative pressure wound therapy (NPWT) has significantly transformed wound care, particularly the management of complex injuries and unresponsive wounds. Crush injuries from road traffic accidents pose intricate challenges due to their severity, often requiring multimodal interventions. NPWT accelerates healing by stimulating tissue formation and reducing inflammation; however, its use necessitates careful patient selection and wound assessment for potential complications.
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