Diagnosis and management of small bowel and mesentery injury following blunt abdominal trauma in 12 cases

Over four years [April 2004 to December 2008] 12 patients with blunt small bowel and mesenteric injuries were treated at three hospitals dealing with trauma. Ten cases were victims of traffic accidents, of whom 70% wore seat belts. There were 11 small bowel injuries [4 full-thickness and 7 seromuscular] and 9 mesenteric injuries [3 with and 6 without a de-vascularized bowel segment]. All were managed initially following the Advanced Trauma Life Support [ATLS] guidelines. Emergency room ultrasound was positive for blood in 5/7 cases [71%] and CT scan in 2/4 [50%]. Diagnostic peritoneal lavage [DPL] was performed in one case and was positive for blood

Maniobra de movilización del pedículo mesentérico superior / Mobilizing maneuver of the superior mesenteric pedicle

Se realiza una investigación bibliográfica, con el fin de actualizar la base anátomo-embriológica y los objetivos de la maniobra de movilización del pedículo mesentérico superior en cirugía general y determinar la prioridad en su creación, basados en el análisis de los trabajos originales referidos a esta maniobra. Se concluyó que la prioridad en su empleo correspondió a los autores Petrov y Koundadzé de Rusia, quienes la emplearon para alargar la porción del intestino utilizada en las esofagoplastias, mientras que los autores norteamericanos Cattell y Braasch la realizaron para mejorar el acceso a las porciones 3ª y 4ª del duodeno y al ángulo duodeno-yeyunal, 10 años después(AU)

A bibliographic investigation was made aimed at updating the anatomicoembriological base and the objectives of the mobilizing maneuver of the superior mesenteric pedicle in general surgery and at determining the priority in its creation, based on the analysis of the original papers referring to this maneuver. It was concluded that the priority in its use corresponded to the Russian authors Petrov and Koundadzé, who used it to enlarge the portion of the intestine utilized in the esophagoplasties, whereas the US authors Cattell and Broasch performed it to improve the access to the 3rd and 4th portions of the duodenum and to the duodeno-jejunal angle, 10 years later(AU)