can't spell cat

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Isn't it Panagiottis N. Symbas "Cardiothoracic Trauma"? I still use it as a
reference.

Jose Luis J. Danguilan, MD


On 11/24/08, Robert Smith <rfsmithmd at comcast.net> wrote:
>
> 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 &amp; 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 &amp; 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
>
>
>
>
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