Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Dec 2011
Risk factors associated with the development of post-traumatic retained hemothorax.
To identify risk factors associated with the development of post-traumatic retained hemothorax in chest trauma patients admitted to Hospital San Vicente de Paul (HUSVP). ⋯ The risk of post-traumatic retained hemothorax was associated with four factors. The probability of the outcome could be modified by careful monitoring, management protocols, suction through the tube thoracostomy, and maybe an early intervention, such as thoracoscopy.
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Eur J Trauma Emerg S · Dec 2011
Reliability of measurement techniques for the hepato-splanchnic region in multiple-trauma patients.
Relevant information on the adequacy of intestinal perfusion is needed. The objective of our study was to investigate the relationship between the difference in intra-mucosal and arterial CO2 pressure (pCO2 gap) and the outcome in multiply injured patients and relations between the pCO2 gap and intestinal permeability (IP). ⋯ The pCO2 gap in trauma patients on intra-gastric enteral nutrition in the phase of present technical solutions has no prognostic value for the development of MOF, but IP correlated with it.
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Eur J Trauma Emerg S · Dec 2011
Partial liver herniation into the right chest following trauma: a delayed presentation as acute injury managed by laparoscopically assisted mini-thoracotomy.
Traumatic diaphragmatic rupture is a relatively uncommon occurrence, with an incidence of 0.8-5% reported in the literature. The reported percentage of missed diaphragmatic injuries that were discovered later ranges from 12 to 66%. Herniation of the liver through the right diaphragm has been reported in the literature after liver transplantation, and in trauma populations. ⋯ Right-sided diaphragmatic laceration, if diagnosed at the time of injury, may be repaired with the minimally invasive technique we describe here.
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Eur J Trauma Emerg S · Dec 2011
The use of cerclage wires as a suture passer in the repair of quadriceps tendon ruptures.
We describe a novel, simple and cost-effective method of passing sutures through the patella, without the need for expensive or specialised equipment.