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10.4103/0974-2700.173866

http://scihub22266oqcxt.onion/10.4103/0974-2700.173866
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C4766762!4766762!26957824
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suck abstract from ncbi


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pmid26957824      J+Emerg+Trauma+Shock 2016 ; 9 (1): 32-6
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  • Laparotomy for blunt abdominal trauma-some uncommon indications #MMPMID26957824
  • Dharap SB; Noronha J; Kumar V
  • J Emerg Trauma Shock 2016[Jan]; 9 (1): 32-6 PMID26957824show ga
  • Trauma laparotomy after blunt abdominal trauma is conventionally indicated for patients with features of hemodynamic instability and peritonitis to achieve control of hemorrhage and control of spillage. In addition, surgery is clearly indicated for the repair of posttraumatic diaphragmatic injury with herniation. Some other indications for laparotomy have been presented and discussed. Five patients with blunt abdominal injury who underwent laparotomy for nonroutine indications have been presented. These patients were hemodynamically stable and had no overt signs of peritonitis. Three patients had solid organ (spleen, kidney) infarction due to posttraumatic occlusion of the blood supply. One patient had mesenteric tear with internal herniation of bowel loops causing intestinal obstruction. One patient underwent surgery for traumatic abdominal wall hernia. In addition to standard indications for surgery in blunt abdominal trauma, laparotomy may be needed for vascular thrombosis of end arteries supplying solid organs, internal or external herniation through a mesenteric tear or anterior abdominal wall musculature, respectively.
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