Unusual management of thoracoabdominal impalement injury to the right hemiliver and diaphragm / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 41-43, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-358900
ABSTRACT
Laparotomy or thoracolaparotomy is a traditional management approach for thoracoabdominal impalement injury associated with major liver and diaphragmatic injuries. We successfully treated the impalement injury with minimally invasive management. A male was brought to our trauma centre with the 15 cm long handle of the knife protruded from right lateral thoracoabdominal region. CT scan revealed that the knife blade traversed through the right costophrenic recess into segment 8 of the liver. There was an intraparenchymal haematoma and a collection of fluid in the abdominal cavity. The conservative management plan consisting of removing the impaled knife, observing, monitoring and managing complications was undertaken. A multidisciplinary approach to manage a patient with less invasive techniques yielded a good outcome. This management option may be considered as an alternative for open surgery for hemodynamically stable patients in experienced centres.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Terapêutica
/
Traumatismos Torácicos
/
Ferimentos e Lesões
/
Ferimentos Penetrantes
/
Diafragma
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Traumatismos Abdominais
/
Fígado
Limite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2014
Tipo de documento:
Artigo
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