Penetrating trauma audit--TRISS analysis.
(1993)
Journal - South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie (SOUTH AFRICA )
Abstract :
Quality assurance in trauma care is of major importance in assessing the efficacy of a trauma service and in identifying areas for improvement. Trauma scores and the TRISS methodology are at present the most accurate tools for quality assurance purposes. In this prospective study, the TRISS methodology was used to analyse the results in a group of 629 patients with penetrating trauma.
| ISSN : | 0038-2361 |
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| Mesh Heading : | Abbreviated Injury Scale Adult Female Glasgow Coma Scale Humans Male Prospective Studies surgery therapy |
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| Mesh Heading Relevant : | Injury Severity Score Medical Audit Wounds, Penetrating |
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Gunshot wounds of the colon: role of primary repair.
(1993)
Journal - Annals of the Royal College of Surgeons of England (ENGLAND )
Abstract :
This is a prospective study of 100 patients with bullet injuries of the colon. Primary repair was performed except in cases of severe colonic damage requiring colectomy or in the presence of disseminated gross peritoneal contamination. Primary repair was performed in 76% with an incidence of abdominal sepsis of 11.8%. The remaining 24% of the patients had a colostomy and the incidence of abdominal sepsis was 29.2% (P < 0.05). Left-sided colonic injuries, multiple colonic perforations, shock on admission, delay > 6 h, more than two associated intra-abdominal injuries, high Injury Severity Score (ISS), and high Penetrating Abdominal Trauma Index (PATI), are not in themselves contraindications for primary repair.
| ISSN : | 0035-8843 |
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| Mesh Heading : | Adult Colon Female Humans Infection Male Postoperative Complications Prospective Studies Wounds, Gunshot surgery etiology |
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| Mesh Heading Relevant : | injuries surgery |
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Occlusive versus semi-open dressings in the management of skin graft donor sites.
(1992)
Journal - South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie (SOUTH AFRICA )
Abstract :
In a prospective, randomised study we compared the efficacy of a new occlusive dressing (Granuflex-E) with a semi-open dressing (tulle gras) in the management of skin-graft donor sites. The study examined 10 patients with burns, each with two donor sites. Each patient acted as his or her own control. The donor sites were mirror images of each other, the anterior surface of the thighs. One donor site was dressed with Granuflex-E and the other with tulle gras. The sites dressed with the occlusive dressing healed significantly faster and were more comfortable than the sites with the semi-open dressing.
| ISSN : | 0038-2361 |
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| Mesh Heading : | Humans Wound Healing |
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| Mesh Heading Relevant : | Bandages Occlusive Dressings Skin Transplantation |
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Gunshot wound of the abdomen: role of selective conservative management.
(1991)
Journal - The British journal of surgery (ENGLAND )
Abstract :
This prospective study includes 146 patients with gunshot wounds of the abdomen. One hundred and five patients (72 per cent) had an acute abdomen on admission and were operated on immediately. The remaining 41 patients (28 per cent) had minimal or equivocal abdominal signs and were observed with serial clinical examinations. Seven of the observed patients needed subsequent laparotomy, but there was no mortality or serious morbidity. Had a policy of mandatory exploration for abdominal gunshot wound been applied the incidence of unnecessary or negative laparotomies would have been 27 per cent. By using a policy of selective conservatism this figure was only 5 per cent. We suggest that abdominal gunshot wounds should be assessed and managed exactly like knife wounds. Physical examination is reliable in detecting significant intra-abdominal injuries. Many carefully selected patients with abdominal gunshot wounds can safely be managed non-operatively.
| ISSN : | 0007-1323 |
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| Mesh Heading : | Abdominal Injuries Adolescent Adult Female Humans Male Middle Aged Physical Examination Prospective Studies Wounds, Gunshot surgery surgery |
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| Mesh Heading Relevant : | therapy therapy |
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Short-course antibiotic prophylaxis in penetrating abdominal injuries: ceftriaxone versus cefoxitin.
(1991)
Journal - Injury (ENGLAND )
Abstract :
This was a prospective, randomized study of 123 patients with penetrating abdominal injuries. The patients received ceftriaxone or cefoxitin for 24 h (in the presence of colonic injury, 48 h). The overall incidence of abdominal sepsis was 7.3 per cent (ceftriaxone 5 per cent, cefoxitin 9.5 per cent, P greater than 0.05). Colonic injury was the most important risk factor for the development of septic complications. Other factors, such as the weapon used, a prehospital time longer than 4 h, shock on admission, multiple organ injuries, and small bowel perforation, did not influence the incidence of sepsis.
| ISSN : | 0020-1383 |
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| Mesh Heading : | Abdominal Injuries Adult Bacterial Infections Cefoxitin Ceftriaxone Colon Female Humans Male Multiple Trauma Postoperative Complications Prospective Studies Risk Factors Wounds, Penetrating prevention & control injuries complications prevention & control |
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| Mesh Heading Relevant : | Premedication surgery therapeutic use therapeutic use surgery |
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