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Left diaphragm laceration stomach spleen herniation

Left diaphragm laceration with stomach & spleen herniation

trauma.org


Left diaphragm laceration stomach spleen herniation - CT

Left diaphragm rupture (blunt) with stomach & spleen herniation.

trauma.org


Left diaphragm laceration stomach spleen herniation - Laparotomy

Left diaphragm rupture (blunt) with stomach & spleen herniation - Laparotomy

trauma.org


Left diaphragm laceration stomach spleen herniation - laparotomy 02

Left diaphragm laceration with stomach & spleen herniation - laparotomy view showing stomach injury

trauma.org


Left diaphragm laceration stomach spleen herniation - repair

Left diaphragm laceration with stomach & spleen herniation - repair

trauma.org


Grade 4 spleen injury (blunt) 01

Grade 4 splenic injury (blunt)

Fredrick Foss


Grade 4 spleen injury (blunt) 02

Grade 4 splenic injury (blunt)

Frederick Foss


Grade 3 spleen injury following motor vehicle collision

Grade 3 spleen injury following MVC

Roy Danks, Northeast Regional Medical Center, Kirksville, MO


Mesh splenorraphy of Grade 3 spleen injury

Mesh splenorraphy of Grade 3 spleen injury

Roy Danks, Northeast Regional Medical Center, Kirksville, MO


Grade 2 spleen injury - motor vehicle collision

Grade 2 spleen injury - motor vehicle collision

Caesar Ursic


Grade 2 spleen injury - omental pedical repair 02

Grade 2 spleen injury - omental pedical repair

Caesar Ursic


Grade 2 spleen injury - omental pedical repair 01

Grade 2 spleen injury - omental pedical repair

Caesar Ursic


Grade 3 spleen injury - delayed rupture

Grade 3 spleen injury - delayed rupture

Luis Filipe Pinheiro, Hospital S. Teot󮩯, Viseu, Portugal


Grade 3 spleen injury - splenectomy

Grade 3 spleen injury - splenectomy

Luis Filipe Pinheiro, Hospital S. Teot󮩯, Viseu, Portugal


Grade 3 spleen injury - CT

Grade 3 spleen injury - CT

Eduardo Bastos, Marilia, Brazil


Grade 3 spleen injury - mesh splenorrhaphy

Grade 3 spleen injury - mesh splenorrhaphy

Horacio A. Massotto, Costa Rica


Grade 5 spleen injury - post splenectomy

Grade 5 spleen injury - post splenectomy

R M Khattar, Delhi, India


Grade 4 spleen rupture from blunt trauma 01

Grade 4 spleen rupture from blunt trauma

Dr. Nedal Matar, Aleppo University Hospital, Syria


Grade 4 spleen rupture from blunt trauma 02

Grade 4 spleen rupture from blunt trauma

Dr. Nedal Matar, Aleppo University Hospital, Syria


Abdominothoracic trauma due to impalement by an iron bar

Abdominal and thoracic trauma caused by iron bar impalement

Dr Biplab Mishra


Abdominothoracic trauma due to impalement by an iron bar

Abdominal and thoracic trauma caused by iron bar impalement

Dr Biplab Mishra


Traumatic Splenic Abruption - Blunt Abdominal Trauma - RTA

Splenic abruption and rupture of the pancreatic tail

Dr. Nedal Matar - Dr. Ahmed Abanamy Hospital - Riyadh - Saudi Arabia


Grade III Blunt Pancreatic Injury 01 - CT Scan

CT abdomen with Grade III Blunt Pancreatic Injury

Juan C Duchesne MD, FACS, FCCP Spirit Of Charity Hospital, NOLA


Articles

Penetrating Abdominal Trauma: Guidelines for Evaluation

charles krin, Karim Brohi, London, UK, August 09, 2004

Abdominal Trauma
Evaluation of Penetrating Abdominal Trauma

Penetrating abdominal injury

The abdomen extends from the nipples to the groin crease anteriorly, and the tips of the scapulae to the…

Case Presentations

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Research Blog Entries

PubMed ID: 21079092
Arch Surg. 2010 Nov;145(11):1048-53
Authors: Bowman SM, Bulger E, Sharar SR, Maham SA, Smith SD

Abstract:

BACKGROUND: Although nonoperative management is the standard of care for hemodynamically stable children with blunt splenic trauma, significant variation in practice exists. Little attention has been given to physician factors associated with management differences.

DESIGN: Nationally representative mail survey conducted in June 2008.

SETTING: United States.

PARTICIPANTS: Ten percent random sample of active, dues-paying fellows in the American College of Surgeons.

MAIN OUTCOME MEASURES: Knowledge, attitudes, and beliefs toward pediatric splenic injury management, including the role of clinical practice guidelines.

RESULTS: Almost all of the 375 responding surgeons (97.4%) agreed that surgical intervention is not immediately necessary for hemodynamically stable children. However, surgeons reported significant disagreement regarding whether blood should be administered before operative intervention for hemodynamically unstable children and whether explorative surgery is needed for stable patients with evidence of contrast extravasation on computed tomography. Only 18.7% of surgeons reported being very familiar with the clinical practice guidelines for the management of pediatric blunt splenic trauma from either the Eastern Association for the Surgery of Trauma or the American Pediatric Surgical Association. Surgeons who were very familiar with either guideline were significantly more likely to rate the guidelines as beneficial (90.0% vs 72.8%, P = .002).

CONCLUSIONS: General surgeons reported varying degrees of familiarity with and use of clinical practice guidelines for pediatric splenic injury management. Limited pediatric experience and lack of pediatric hospital resources may limit more widespread adoption of nonoperative management. Targeted educational interventions may help increase surgeon knowledge of guidelines and best practices.