No abstract available.
Wounds, Stab*

Concerns have been raised about the potential for hardware failure in interlocking nails and screws especially with small diameter nail. Existing techniques for removing broken interlocking screws can involve trephine over-cutting of the screws, which requires wide bone exposure and creates larger stress risers by enlarging the original screw hole. We present this new technique for removal of broken screws of 2 femoral interlocking nails and 6 tibia interlocking nails. This Steinmann pin ""punch"" technique is to drive the screws through the opposite cortex and soft tissue for removal through a small stab wound. The rationale of this technique is based on the less holding power of the interlocking screw which is not only a machinary screw but also placed on the metaphyseal portion.
Tibia ; Wounds, Stab

Injuries of the inferior vena cava (IVC) might be caused by a blunt trauma, which usually affects the retrohepatic portion. Injuries of the infrahepatic IVC are usually caused by penetrating injuries and rarely occur in Korea. We report a case of a penetrating injury of the IVC at the infrahepatic suprarenal portion with a review of other reported cases.
Korea ; Vena Cava, Inferior* ; Wounds, Stab*

No abstract available.
Humans ; Vena Cava, Inferior* ; Wounds, Stab*

Pneumocephalus is defined as the presence of air within the cranial cavity. Trauma such as automobile accidents, motorcycle accidents, and missile injuries is the most common cause of pneumocephalus. There have previously been four reported cases of pneumocephalus following stab wounds to the neck in the English literature. We present an unusual case of pneumocephalus following a neck stab wound with a review of the literatures.
Automobiles ; Motorcycles ; Neck ; Pneumocephalus ; Wounds, Stab

Because the penetrating cervical tracheoesophageal injury may be associated with significant morbidity and mortality, it is important to choose the optimal method of diagnosis and management in patient with tracheoesophageal injury. We obtained a satisfactory result from repair of tracheoesophageal injuries using cardiopulmonary bypass. If the bleeding from the unidentified deep injury and the spread of infection could be controlled, the repair using CPB might increase the margin of safety during operation in the similar cases.
Cardiopulmonary Bypass ; Diagnosis ; Hemorrhage ; Humans ; Mortality ; Wounds, Stab*

We report an unusual case of concomitant partial laceration of bulbous urethra and transsection of left crura of corpus cavernosum caused by a stab wound to the upper scrotum. The serosa and part of rectal wall was also damaged. After exploration and surgical correction, the outcome was successful.
Lacerations ; Rupture* ; Scrotum ; Serous Membrane ; Urethra ; Wounds, Stab*

We recently encountered a case of posttraumatic SMAVF(Superior mesenteric arteriovenous fistula), which has treated by coil embolization. He had history of stab wound and emergent operation. Operative diagnosis was gastric perforation and mesenteric laceration which was simply repaired. After history of abdominal stab woung and operation, he developed palpitation and thrill in left upper abdomen. Recentrly he have experienced syncope twice. On superior mesenteric arteriogram, early visualiation of superior mesenteric vein and portal vein was noted. We embolized the SMAVF by using coils. Since coil embolization, palpitation and thrill disappreared.
Abdomen ; Diagnosis ; Embolization, Therapeutic* ; Fistula* ; Lacerations ; Mesenteric Arteries ; Mesenteric Veins ; Portal Vein ; Syncope ; Wounds, Stab

PURPOSE: There is little controversy that a classic indication such as hemodynamic instability or any sign of peritoneal irritation requires an immediate laparotomy in the management of abdominal stab wounds. However, omental herniation or bowel evisceration as an indication for an immediate laparotomy is controversial. The purpose of this study was to evaluate the significance of these factors as indications for an immediate laparotomy. METHODS: The medical records of 98 consecutive abdominal stab wounds patients admitted to the Emergency Center of Masan Samsung Hospital from January 2000 to December 2006 were carefully examined retrospectively. Using multivariate logistic regression analysis, thirty-nine factors, including the classic indication and intraabdominal organ evisceration, were evaluated and were found to be associated with a need for a laparotomy. Also, the classic indication was compared with a new indication consisting of components of the classic indication and intra-abdominal organ evisceration by constructing a contingency table according to the need for a laparotomy. RESULTS: Multivariate logistic regression analysis revealed any sign of peritoneal irritation, base deficit, and age to be significant factors associated with the need for a laparotomy (p<0.05). The sensitivity, specificity, and accuracy rates of the classic indication were 98.6%, 72.0%, and 91.8%, respectively, and those of the new indication were 93.2%, 84.0%, and 90.8%, respectively. The differences in those rates between the above two indications were not significant. CONCLUSION: Intra-abdominal organ evisceration was not a significant factor for an immediate laparotomy. Moreover, the new indication including intra-abdominal organ evisceration was not superior to the classic indication. Therefore, in the management of abdominal stab wounds, the authors suggest that an immediate laparotomy should be performed on patients with hemodynamic instability or with any sign of peritoneal irritation.
Abdomen ; Emergencies ; Hemodynamics ; Humans ; Laparotomy* ; Logistic Models ; Medical Records ; Retrospective Studies ; Sensitivity and Specificity ; Wounds, Stab*

PURPOSE: Even though Augmentation rhinoplasty is very popular surgical procedure, it is not easy to obtain ideal materials for augmentation. Many different synthetic materials are used but frequent complications are seen such as infection, extrusion, deform, and dislocation. Autologous tissues were used for augmentation rhinoplasty. We used dermofat graft and fat injection in augmentation rhinoplasty minimizing these problems. METHODS: From 2006 to 2009, we used autologous tissues in augmentation rhinoplasty in 40 patients, 20 patients with dermofat graft and other 20 patients were treated with fat injection only. Dermofats were harvested from sacral area. gluteal fold, groin and preexisting scar tissue. Dermofats were inserted with small stab wound and fat tissues were injected as Coleman's technique. The patients were followed up 6 months to 5 years. RESULTS: Most of the patients were satisfied in shape and height the nose. Early complications such as hematoma, infection and seroma were not found. Secondary fat injection was performed in 3 patients (15%) of dermofat graft group instead of 7 patients (35%) of fat injection only group. CONCLUSION: We obtained satisfactory results in augmentation rhinoplasty with dermofat graft and fat injection. Secondary fat injections were more often in fat injection group than dermofat graft group. Dermofat graft and fat injection could be another alternative technique for augmentation rhinoplasty and fat injection could be a secondary adjunctive treatment for undercorrection due to absorption.
Absorption ; Cicatrix ; Dislocations ; Groin ; Hematoma ; Humans ; Nose ; Rhinoplasty ; Seroma ; Transplants ; Wounds, Stab