can't spell cat

• Previous message: Trauma Screening Laparoscopy
• Next message: can't spell cat
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

It's JD Symbas

 

From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Robert Smith
Sent: Monday, November 24, 2008 7:02 AM
To: 'Trauma & Critical Care mailing list'
Subject: RE: Trauma Screening Laparoscopy

 

Sorry; No diaphragmatic injury would heal.... and therefore needed to be
repaired. As Tim says, some because of their anatomic location, like over
the back of the liver, seem resistant to this.

 

From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Robert Smith
Sent: Monday, November 24, 2008 6:52 AM
To: 'Trauma & Critical Care mailing list'
Cc: Kknagy at aol.com
Subject: RE: Trauma Screening Laparoscopy

 

Dr. McSwain,

 

Of course I agree with everything you said in your response. 

 

Except:

 

You are saying that you do a laparoscopy to look for perforation of the
peritoneum "We merely look for signs of
> peritoneal penetration, as you did with DPL."

            (DPL is NOT an indicator of perforation of the peritoneum. I do
not use it for this reason)

 

I realize everything I once knew is either wrong or forgotten. But this must
really be the end. I certainly labored under the belief the this was exactly
what DPL was used for. Kim Nagy at Cook County Hospital and others have
published extensively on its use. For instance: A
<http://www.ncbi.nlm.nih.gov/pubmed/9291367?ordinalpos=2&itool=EntrezSystem2
.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSu
m>  method of determining peritoneal penetration in gunshot wounds to the
abdomen. Nagy KK, Krosner SM, Joseph KT, Roberts RR, Smith RF, Barrett J. J
Trauma. 1997 Aug;43(2):242-5; discussion 245-6. We also used it to R/U
diaphragmatic penetration and I would think it is much less invasive than a
scope of any kind. In Cymbas' text on Cardiothoracic Trauma he was clear
that he believed his work showed that not diaphragmatic penetration would
heal, and that all, over time enough time would develop hernias and needed
to be repaired. In general, this was the approach at County Hospital as I
understood it.

Rob Smith

 

-------------- next part --------------
A non-text attachment was scrubbed...
Name: winmail.dat
Type: application/ms-tnef
Size: 6546 bytes
Desc: not available
URL: <http://list.mistral.net/pipermail/trauma-list/attachments/20081124/9b202833/attachment.bin>

• Previous message: Trauma Screening Laparoscopy
• Next message: can't spell cat
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]