Abstract：
INTRODUCTION:After the attacks in Paris, France was again struck by terrorism in the city of Nice during the night of July 14, 2016. At 22:33 in the evening, a 19-ton truck drove into the crowd of holiday celebrators. The attack resulted in 458 wounded and 86 deaths. The purpose of this study was to describe the management of patients with abdominal trauma admitted alive in our institution, in the context of a massive influx of victims. MATERIAL AND METHODS:We performed a retrospective analysis of the management of adults with abdominal trauma arising from the terrorist attack in Nice. RESULTS:Among the 182 victims admitted to our trauma center, eleven patients presented with abdominal trauma. The median age was 44 years [14-63] and the median Injury Severity Score (ISS) was 34 [9-59]. Eight patients underwent urgent surgical treatment in the operating room including six for abdominal trauma. These patients were treated according to the principles of surgical damage control, albeit without the need for temporary abdominal closure or packing. Three patients could have had their lesions managed non-operatively had they been admitted outside this surge episode, which saturated the technical means of the receiving hospital. CONCLUSION:The terrorist attack that victimized the citizens of Nice resulted in the second largest number of dead of any attack on French soil. A large number of patients were admitted to the city's only center for adult trauma care. The management of these patients posed diagnostic, therapeutic and logistical problems. Increased use of pre-hospital pelvic restraint belts may help to reduce vehicular trauma. We do not feel that non-operative management of abdominal lesions can be envisaged in the context of a mass influx of victims. We recommend surgical hemostasis for patients with secondary hemorrhagic risk from visceral trauma in the context of a massive influx of victims.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Massalou D,Ichai C,Mariage D,Baqué Pdoi
10.1016/j.jviscsurg.2018.04.004subject
Has Abstractpub_date
2019-02-01 00:00:00pages
17-22issue
1issn
1878-7886pii
S1878-7886(18)30056-0journal_volume
156pub_type
杂志文章abstract：INTRODUCTION:The mild pancreatic tumors are more and more treated by central pancreatectomy (CP) in alternative with the widened pancreatectomies. Indeed, their morbidity is lesser but they are however burdened by a rate of important postoperative fistulas. The purpose of our study is to compare pancreatico-jejunal ana...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2012.01.002
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:To define the cost of pancreatectomies and to identify factors associated with increased hospital costs after pancreatic resection. METHODS:All patients undergoing pancreatic surgery in our department between January 2008 and December 2014 were included. All complications occurring during hospitalization or ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.04.003
更新日期：2018-12-01 00:00:00
abstract：:Obesity has become a major public health concern. More and more patients with substantial obesity require surgery including complex hepatobiliary interventions. The morphology of these patients can make surgery difficult, especially in terms of exposure. We report the case of an obese patient who required a left hemih...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2012.05.003
更新日期：2012-08-01 00:00:00
abstract：:This case report concerns a man with appendicitis following right colectomy. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.10.002
更新日期：2014-12-01 00:00:00
abstract：:Severe trauma patients should be received at the hospital by a multidisciplinary team directed by a "trauma leader" and all institutions capable of receiving such patients should be well organized. As soon as the patient is accepted for care, the entire team should be prepared so that there is no interruption in the p...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2016.04.014
更新日期：2016-08-01 00:00:00
abstract：:Less than 20% of hepatocellular carcinoma (HCC) develops in the non-cirrhotic liver (NCL). The diagnosis of HCC in NCL is suggested by a large hypervascular tumor in a 60-75 year old patient (usually male), particularly if the alpha-fetoprotein (AFP) level is high. But AFP is normal more often than not. Surgical resec...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2010.12.012
更新日期：2011-02-01 00:00:00
abstract：:Intestinal transplantation (IT) can involve small bowel transplantation alone, or be associated with liver or multivisceral transplantation. Although IT is the radical treatment for intestinal failure, home parenteral nutrition (PN) remains the treatment of choice for this disease. Indications for IT are still debated...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.10.008
更新日期：2012-12-01 00:00:00
abstract：:Tissue engineering, which consists of the combination and in vivo implantation of elements required for tissue remodeling toward a specific organ phenotype, could be an alternative for classical techniques of esophageal replacement. The current hybrid approach entails creation of an esophageal substitute composed of a...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2015.11.009
更新日期：2016-02-01 00:00:00
abstract：:Complications in bariatric surgery are varied; they are severe at times but infrequent. They may be surgical or non-surgical, and may occur early or late. The goal of this systematic review is to inform and help the attending physician, the emergency physician and the non-bariatric surgeon who may be called upon to ma...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2017.10.012
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE OF THE STUDY:Skin-sparing mastectomies (SSM) have gained acceptance among teams performing immediate breast reconstruction because this technique provides the best cosmetic outcome. Nevertheless, in France, concerns have been raised that limited skin excision during mastectomy could result in an increased ris...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2013.09.011
更新日期：2013-11-01 00:00:00
abstract：:Pneumatosis cystoides intestinalis is generally benign in course and sometimes, if cysts ruptured, behave as the not uncommon cause of free air in acute abdomen. In our case, we illustrate ruptured isolated cysts of pneumatosis cystoides intestinalis are responsible for pneumoperitoneum in a 94-year-old male patient. ...
journal_title：Journal of visceral surgery
pub_type：
doi：10.1016/j.jviscsurg.2018.09.006
更新日期：2019-04-01 00:00:00
abstract：:Gallbladder volvulus is a rare condition caused by torsion of the cholecystic pedicle and is favored by a long or nonexistent cholecystic mesentery. Gallbladder torsion presents clinically as gangrenous cholecystitis. Emergency cholecystectomy is the standard treatment. Lack of awareness of this condition can result i...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2011.12.002
更新日期：2012-04-01 00:00:00
abstract：PURPOSE:To assess the impact of a simple flap closing procedure by Karydakis flap (KF) after pilonidal sinus excision on the costs and healing time as compared to routine lay-open technique. METHOD:Out of 44 consecutive patients operated on for pilonidal excision (November 2013-March 2015), 17 had a Karydakis flap and...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.02.004
更新日期：2017-12-01 00:00:00
abstract：:Complications related to energy sources in the operating room are not well-recognized or published, despite occasionally dramatic consequences for the patient and the responsible surgeon. The goal of this study was to evaluate the risks and consequences related to use of energy sources in the operating room. PATIENTS...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.12.003
更新日期：2018-09-01 00:00:00
abstract：INTRODUCTION:Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. The goal of this study was to analyze and to discuss the modalities of early radiologic diagnosi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2018.10.005
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION:Adhesion-related small bowel obstruction (ASBO) management is difficult if there are no signs of strangulation or peritonitis when intestinal transit has not been restored. The aim of the present study was to determine the impact of combining a procalcitonin (PCT)-based algorithm with clinical signs on the...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.01.004
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Complete cytoreductive surgery (CCRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) is the gold standard for curative treatment of peritoneal carcinomatosis (PC) arising from colorectal cancer, peritoneal mesothelioma and peritoneal pseudomyxoma peritonei (PMP). The results of HIPEC remain controv...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2015.11.010
更新日期：2016-04-01 00:00:00
abstract：:Multidisciplinary management of infra-peritoneal rectal cancer has pushed back the frontiers of sphincter preservation, without impairment of carcinological outcome. However, functional intestinal sequelae, grouping together several symptoms known under the name of anterior resection syndrome (ARS), have emerged and b...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2018.03.006
更新日期：2018-10-01 00:00:00
abstract：:For the last 20 years, nonoperative management (NOM) of blunt hepatic trauma (BHT) has been the initial policy whenever this is possible (80% of cases), i.e., in all cases where the hemodynamic status does not demand emergency laparotomy. NOM relies upon the coexistence of three highly effective treatment modalities: ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.07.005
更新日期：2016-08-01 00:00:00
abstract：:Anastomotic leakage represents a major complication of gastrointestinal surgery, leading to increased postoperative morbidity; it the foremost cause of mortality after intestinal resection. Identification of risk factors is essential for the prevention of AL. AL can present with various clinical pictures, ranging from...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2014.10.004
更新日期：2014-12-01 00:00:00
abstract：INTRODUCTION:Postgraduate training is a time-honored entity, the goal of which was to develop and ensure the acquisition of new medical knowledge for the medical profession. MATERIAL AND METHODS:The main goal of this retrospective study is to analyze the current situation of postgraduate training in surgical disciplin...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.03.004
更新日期：2020-06-01 00:00:00
abstract：:The circumportal pancreas (CPP) is a normal though rare anatomical variant of the pancreas resulting from fusion of ventral and dorsal pancreatic buds during embryogenesis. Preoperative imaging in a 69-year-old man displayed the presence of a CPP completely encasing the portal vein. For pancreatic resection, missing a...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.02.001
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:Few data are available on the management of elderly rectal cancer patients, and especially on the ability to provide optimal oncological treatment. The aim of this study was to determine the feasibility and results of multimodality treatment for rectal cancer in patients 75years and older after simplified co...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.06.005
更新日期：2018-02-01 00:00:00
abstract：PURPOSE OF THE STUDY:To determine the statistical indicators aimed at identifying patients for whom ambulatory colectomy could be proposed without additional risk. PATIENTS AND METHODS:The medical charts of patients who benefited from scheduled colonic or rectal resection during conventional hospitalization stays betw...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.11.012
更新日期：2020-12-18 00:00:00
abstract：:Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Masses may arise from any of the mesenteric components: peritoneum, lymphatic tissue, fat, and connective tissue. Cellular proliferation can also arise from infectious or inflammatory processes. They can be classified as solid or cystic, benig...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.05.005
更新日期：2012-08-01 00:00:00
abstract：:Mortality associated with pelvic and perineal trauma (PPT) has fallen from 25% to 10% in the last decade thanks to progress accomplished in medical, surgical and interventional radiology domains (Dyer and Vrahas, 2006) [1]. The management strategy depends on the hemodynamic status of the patient (stable, unstable or e...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.06.004
更新日期：2012-08-01 00:00:00
abstract：INTRODUCTION:The goal of this study was to evaluate the immediate and long-term outcomes after the combined Frey and Beger procedure for chronic pancreatitis. MATERIAL AND METHODS:From March 2008 to July 2011, 50 consecutive patients with chronic pancreatitis, confirmed by pathology, underwent the combined Frey and Be...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.12.003
更新日期：2015-04-01 00:00:00
abstract：:The decision to perform a bariatric surgical procedure, the conclusion of a clinical pathway in which management is individually adapted to each patient, is taken after multidisciplinary consultation. Paradoxically, the patients who would most benefit from surgery are also those who have the highest operative risk. In...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2018.01.004
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVES:To analyze the diagnostic and therapeutic aspects of isolated gastric outlet obstruction secondary to corrosive ingestion. PATIENTS AND METHODS:Retrospective chart review of eight patients who developed gastric stricture following corrosive ingestion and were treated in the Digestive and General Surgery Ser...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2010.12.002
更新日期：2011-02-01 00:00:00
abstract：:Re-admission is a new concept in France, born with the advent of day-case surgery, and defined as any re-admission occurring within 30 days after surgery. The re-admission rate has increasingly come to be considered a criterion of the quality of medical care, by both the medical profession and by insurance companies. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2015.09.013
更新日期：2015-12-01 00:00:00
