No abstract available.
Abdominal Injuries*

Surgical operation or invasive diagnostic procedure may inflict unwanted mechanical injury on either tissue or organ. Iatrogenic injury is said that unwanted, accidental mechanical injury of the body, caused by surgical procedures. Rarely intraabdominal operation, spinal surgery or invasive diagnostic procedures can cause iatrogenic abdominal injury, which becomes the subject of a medicolegal investigation by prolonged treatment period, sequelae, and death.
Abdominal Injuries*

The diagnostic strategy based on the available diagnostic equipment. However, it should base on the specific condition of each individuals and available diagnostic equipment and their efficacy. From which the guideline of proper diagnosis was introduced for each hospital.
Diagnosis ; Abdominal Injuries ; Wounds and Injuries

Duodenal injuries following a blunt or penetrating trauma are uncommon and account for just 3% to 5% of all abdominal injuries. About 22% of all duodenal injuries are caused by blunt trauma. An overlooked injury or delayed diagnosis of duodenal injury may lead to increased mortality and morbidity. We report two cases of a duodenal injury following blunt abdominal trauma.
Abdominal Injuries ; Delayed Diagnosis

45 patients with spleen trauma were treated in the hospital No 19-8. Among then, 17 underwent a prevervative operation for suturing the spleen according to the state of trauma in site, the surgeon's qualification and the follow- up conditions. The preservative suture must be safe, spleen function must be preserved, any spleen edge could be partialy removed in case of injury. Early result can be altained in 94,11% and early post operative complication in 5,89% of cases.
Abdominal Injuries ; Surgery ; Diagnosis

Abdominal Injuries ; therapy ; Humans

The usefulness of peritoneal lavage in the identification of patients who require laparotomy after close abdominal trauma is not controversial. Peritoneal lavage should be seen as an adjunct to clinical presentation poses unusual difficulty, for example, when consciousness in impaired or when diagnostic doubt exists... The diagnostic accuracy of peritoneal lavage in blunt abdominal trauma has been shown of 100%. In this collected of 17 patients, the false positive rate was 0%.
Peritoneal Lavage ; Abdominal Injuries ; diagnosis

Abdominal injury include trauma on belly and abdominal injury is a common surgical emergency in our country, occupy from 10-13%. The death rate is still high:10%. In the world, the view of using laparoscopy in diagnosis and treatment for abdominal injury cases are performed effectively on almost of surgical centres. In Viet Nam, this method was applied successful at Cho Ray hospital, Viet Duc hospital and Army hospital No 108 since the year of 1990. However, in our country, the research on applying laparoscopy on diagnosis and treatment abdominal injury is limited
Abdominal Injuries ; Laparoscopy ; Diagnosis ; Therapeutics

Traumatic diaphragm hernia can occur in rare cases and generally accompanies thoracic or abdominal injuries. When suffering from ankylosing spondylitis, a small force can develop into vertebral fracture and an adjacent structural injury, and lead to diaphragm hernia without accompanying concomitant thoracoabdominal injury. A high level of suspicion may be a most reliable diagnostic tool in the detection of a diaphragm injury, and we need to keep in mind a possibility in a patient with ankylosing spondylitis and a thoracolumbar fracture, even in the case of minor trauma.
Abdominal Injuries ; Diaphragm* ; Hernia* ; Humans ; Spondylitis, Ankylosing*

Introduction: The management of blunt and penetrating liver trauma continues to pose a tremendous challenge to surgeons. This study reviews the pattern of liver trauma and its management, both operative and non-operative, in RIPAS Hospital, the only tertiary referral center in Brunei Darussalam. Material and Methods: A retrospective study of patients admitted with liver trauma, with and without other associated injuries between January 2002 and December 2006 to RIPAS Hospital was undertaken. The patients' case records were retrieved. Details on age, sex, mode of injury, pre-operative imaging, severity of liver injury based on the Liver Injury Scale (LIS, grades I to VI), presence of other associated injuries, overall management, complications and outcome were collected and analysed. Results: Twenty patients (male, n = 12) with a mean age of 36 years old (range 20 to 75) were treated for liver trauma (median LIS grade of III, range I to V) during the study period. Road traffic accidents accounted for 75% of the injuries. Thirteen (65%) had high grade injuries (≥ LIS grade III). Seventeen (85%) patients underwent surgical procedures for liver and other associated injuries. Four patients (20%) had non-operative management with one failure (5%). This patient subsequently required surgery. There were six post-operative deaths (mortality 30%). There were three major morbidities (15%): right hepatic artery aneurysm, a right hepatic duct bile leak and left hemiplegia secondary to cerebrovascular accident. Conclusions: In our local setting, blunt liver trauma is often due to road traffic accidents and is associated with a high mortality rate. A majority was of high grades and required urgent surgical interventions. Non-operative management is an option for those with low grade injuries and who are stable.
Abdominal Injuries ; Accident, Traffic ; Treatment Outcome