The employment of resuscitative endovascular balloon occlusion of the aorta in deployed settings
We describe 17 cases of REBOA within the DODTR from 2007 to 2023, adding to the limited documentation of patients undergoing REBOA in military settings. We identified patterns of injury in line with previous studies of patients undergoing REBOA in military settings. In this small sample of military casualties, we observed a high survival rate.PMID:38581267 | DOI:10.1111/trf.17823 (Source: Transfusion)
Source: Transfusion - April 6, 2024 Category: Hematology Authors: Branson D Taheri Andrew D Fisher Ian F Eisenhauer Michael D April Julie A Rizzo Sundeep S Guliani Kathleen M Flarity Michael Cripps Vikhyat S Bebarta Max V Wohlauer Steven G Schauer Source Type: research
Ileocecal knotting as a rare cause of small bowel obstruction: a case report
CONCLUSION: Despite its rarity, the possibility of ileocecal knotting should be considered in cases of small bowel obstruction due to its potential for rapid deterioration. Prompt resuscitation followed by emergency laparotomy is necessary to prevent mortality.PMID:38576991 | PMC:PMC10990335 | DOI:10.1097/MS9.0000000000001800 (Source: Annals of Medicine)
Source: Annals of Medicine - April 5, 2024 Category: Internal Medicine Authors: Nishanta Dallakoti Ved Prakash Pant Nabin Pokhrel Prashant Bhatta Vijay Kumar Rana Rupesh Prasad Sah Source Type: research
Comparison of the clinical effects of dual-modality endoscopy and traditional laparotomy for the treatment of intra- and extrahepatic bile duct stones
CONCLUSION: Dual-modality endoscopy therapy (duodenoscopy and laparoscopy) is more effective than traditional laparotomy in the treatment of intra- and extrahepatic BDSs and has a lower risk of postoperative complications; significantly shortened surgical time; shorter gastrointestinal function recovery time; shorter hospital stay; and lower intraoperative bleeding volume, while having a significant inhibitory effect on excessive serum inflammation and causing little postoperative oxidative stress.PMID:38577080 | PMC:PMC10989330 | DOI:10.4240/wjgs.v16.i3.759 (Source: Cancer Control)
Source: Cancer Control - April 5, 2024 Category: Cancer & Oncology Authors: Wei Wang Hui Xia Bin Dai Source Type: research
Ileocecal knotting as a rare cause of small bowel obstruction: a case report
CONCLUSION: Despite its rarity, the possibility of ileocecal knotting should be considered in cases of small bowel obstruction due to its potential for rapid deterioration. Prompt resuscitation followed by emergency laparotomy is necessary to prevent mortality.PMID:38576991 | PMC:PMC10990335 | DOI:10.1097/MS9.0000000000001800 (Source: Annals of Medicine)
Source: Annals of Medicine - April 5, 2024 Category: Internal Medicine Authors: Nishanta Dallakoti Ved Prakash Pant Nabin Pokhrel Prashant Bhatta Vijay Kumar Rana Rupesh Prasad Sah Source Type: research
Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study
We describe a planned prospective multicentre observational cohort study of patients undergoing trauma laparotomy. We will include patients of all ages who present to hospital with a blunt or penetrating injury and undergo a trauma laparotomy within 5 days of presentation to the treating centre. The study will collect system, patient, process and outcome data, following patients up until 30 days postoperatively (or until discharge or death, whichever is first). Our sample size calculation suggests we will need to recruit 552 patients from approximately 150 recruiting centres.
Discussion
The GOAL-Trauma study will provide ...
Source: BMJ Open - April 5, 2024 Category: General Medicine Authors: Bath, M. F., Kohler, K., Hobbs, L., Smith, B. G., Clark, D. J., Kwizera, A., Perkins, Z., Marsden, M., Davenport, R., Davies, J., Amoako, J., Moonesinghe, R., Weiser, T., Leather, A. J. M., Hardcastle, T., Naidoo, R., Nördin, Y., Conway Morris, A. Tags: Open access, Surgery Source Type: research
Outcomes of non-operative management of penetrating abdominal trauma
CONCLUSION: In this study, we demonstrated no mortality and less morbidity in the DOM group when appropriately selected compared to the immediate laparotomy group. This supports the selective NOM approach for PAT in high volume trauma centres.PMID:38568123 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: N Almgla M Raul Risk S Edu A Nicol P Navsaria Source Type: research
Interhospital Transfer for Emergency General Surgery: A Contemporary National Analysis
DISCUSSION: While incidence of interhospital transfer for EGS is increasing, transfer patients face greater morbidity and resource utilization. Novel interventions are needed to optimize patient selection and improve post-transfer outcomes.PMID:38570318 | DOI:10.1177/00031348241244642 (Source: The American Surgeon)
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Sara Sakowitz Syed Shahyan Bakhtiyar Zihan Gao Saad Mallick Amulya Vadlakonda Troy Coaston Jeffrey Balian Nikhil Chervu Peyman Benharash Source Type: research
Operative Management and Outcome of Idiopathic Rectal Necrosis in an Octogenarian
This report describes an 83-year-old man presenting with septic shock due to distal sigmoid and complete rectal necrosis with perforation. He underwent emergent exploratory laparotomy, sigmoid and proximal rectum resection, and end sigmoid colostomy creation with delayed distal rectal evaluation. Bedside proctoscopy revealed pale, viable-appearing distal rectal mucosa on postoperative day 3. The patient had a protracted, complicated hospital stay but required no further operative intervention. Subsequent colostomy reversal was done 8 months postoperatively, and the patient did well and has been discharged with normal gastr...
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Vinila Baljepally Mary E McBride Lou Smith J Bracken Burns Source Type: research
Outcomes of non-operative management of penetrating abdominal trauma
CONCLUSION: In this study, we demonstrated no mortality and less morbidity in the DOM group when appropriately selected compared to the immediate laparotomy group. This supports the selective NOM approach for PAT in high volume trauma centres.PMID:38568123 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: N Almgla M Raul Risk S Edu A Nicol P Navsaria Source Type: research
Interhospital Transfer for Emergency General Surgery: A Contemporary National Analysis
DISCUSSION: While incidence of interhospital transfer for EGS is increasing, transfer patients face greater morbidity and resource utilization. Novel interventions are needed to optimize patient selection and improve post-transfer outcomes.PMID:38570318 | DOI:10.1177/00031348241244642 (Source: The American Surgeon)
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Sara Sakowitz Syed Shahyan Bakhtiyar Zihan Gao Saad Mallick Amulya Vadlakonda Troy Coaston Jeffrey Balian Nikhil Chervu Peyman Benharash Source Type: research
Operative Management and Outcome of Idiopathic Rectal Necrosis in an Octogenarian
This report describes an 83-year-old man presenting with septic shock due to distal sigmoid and complete rectal necrosis with perforation. He underwent emergent exploratory laparotomy, sigmoid and proximal rectum resection, and end sigmoid colostomy creation with delayed distal rectal evaluation. Bedside proctoscopy revealed pale, viable-appearing distal rectal mucosa on postoperative day 3. The patient had a protracted, complicated hospital stay but required no further operative intervention. Subsequent colostomy reversal was done 8 months postoperatively, and the patient did well and has been discharged with normal gastr...
Source: The American Surgeon - April 3, 2024 Category: Surgery Authors: Vinila Baljepally Mary E McBride Lou Smith J Bracken Burns Source Type: research
Outcomes of non-operative management of penetrating abdominal trauma
CONCLUSION: In this study, we demonstrated no mortality and less morbidity in the DOM group when appropriately selected compared to the immediate laparotomy group. This supports the selective NOM approach for PAT in high volume trauma centres.PMID:38568123 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: N Almgla M Raul Risk S Edu A Nicol P Navsaria Source Type: research
