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 diagnosis and management of these injuries. PATIENTS AND METHODS:This multicenter retrospective study included patients seen between 2009 and 2017 within the Northern Alpine Emergency Network [REseau Nord Alpin des Urgences (RENAU)]. Clinical, radiologic and surgical data from all patients sustaining blunt diaphragmatic rupture were studied. RESULTS:Thirty-one patients (18 men and 13 women), median age 44, were included. The principle mechanism of injury was road or traffic accidents for 22 patients. Diaphragmatic rupture occurred on the left side in 23 patients. Diagnosis was delayed in two patients, at 11 days and three months after the initial accident. Chest X-rays were diagnostic in 18 of 29 patients. CT scan was the reference investigation since it was performed in all patients and confirmed the diagnosis in 26 instances. Repair was surgical via a midline laparotomy in 27 patients, via laparoscopy in three, and via thoracoscopy in one. Three patients died. CONCLUSION:At urgent surgical exploration in the unstable blunt trauma patient, the surgeon should keep in mind the relatively poor diagnostic performance of chest X-rays. Accurate diagnosis relies on routine inspection of the diaphragmatic cupolas. In the stable trauma victim, contrast-enhanced abdomino-thoracic CT with reconstruction can lead to early diagnosis, which allows for repair under optimal conditions, whether by laparotomy, laparoscopy or thoracoscopy, according to local conditions and expertise.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Mancini A,Duramé A,Barbois S,Abba J,Ageron FX,Arvieux Cdoi
10.1016/j.jviscsurg.2018.10.005subject
Has Abstractpub_date
2019-02-01 00:00:00pages
3-9issue
1issn
1878-7886pii
S1878-7886(18)30150-4journal_volume
156pub_type
杂志文章,多中心研究abstract::Radical and definitive surgical treatment is indicated in approximately one out of ten patients with hemorrhoidal disease. The Milligan and Morgan hemorrhoidectomy technique is the most widely performed in France: the technique is well-codified and results are satisfactory and durable if the indications and the post-o...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2014.09.012
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Metabolic surgery is now considered as a therapeutic option in type 2 diabetes (T2D). However, few data are available regarding perioperative management of T2D. OBJECTIVES:To assess current practice among bariatric teams regarding perioperative management of T2D in order to propose guidelines. METHODS:A tw...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2019.07.012
更新日期:2020-02-01 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::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::Rectal linitis is a rare tumor with a poor prognosis that may be seen as a primary tumor or in association with gastric linitis plastica. In this article we describe the morphological appearance on CT and magnetic resonance imaging, which is typical. We also discuss the oncologic management, which is not well defined,...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2014.09.005
更新日期:2015-02-01 00:00:00
abstract::Replacement of the esophagus by colon interposition often has late complications, frequently due to technical defects. We report the case of a patient who presented 12 years after surgery with complex dysfunctions of a colonic interposition, including cervical and retrosternal strictures associated with a redundant po...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2010.08.006
更新日期:2010-12-01 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: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: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:GOAL:Present and analyze the implementation of laparoscopic teaching program at the Surgical School of Paris, introduced in 2008. MATERIAL AND METHODS:Evaluation of the technical capacities of 43 students in six basic tests after four, one and a half hour training sessions with a pelvic-trainer. RESULTS:The time nece...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2010.10.009
更新日期:2010-12-01 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::Health care professionals are usually at a loss when it comes to medical "complaints", essentially because they lack knowledge with regard to existing litigation procedures. After a short reminder of the different rights of appeal in France, we describe how medical appeals function in other European countries. Next, w...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2019.04.001
更新日期:2019-09-01 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: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::Abdominal pelvic radiation therapy can induce acute or chronic lesions in the small bowel wall, called radiation enteritis. Treatment of acute radiation enteritis is essentially symptomatic; symptoms regress when radiation is discontinued. Conversely, late toxicity can occur up to 30 years after discontinuation of rad...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2020.08.012
更新日期:2020-12-01 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::The main objectives of the reform of the 3rd cycle of medical studies in France that was instituted in 2017 after eight years of preparation, are to train future specialists in a consistent and equitable fashion and to replace the previous time-based qualification by training based on the progressive acquisition of sk...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2020.02.007
更新日期:2020-06-01 00:00:00
abstract::Mesenteric hernia is a frequent cause of intestinal obstruction in childhood but is exceptional in the adult. We describe a case in a young adult without any remarkable history who presented with an acute abdomen and intestinal obstruction. ...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2018.06.007
更新日期:2018-09-01 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::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:AIM OF THE STUDY:Delayed hemorrhage, though rare, remains a significant source of morbidity and mortality after pancreaticoduodenectomy (PD). An important cause of this delayed hemorrhage is erosion or pseudoaneurysm formation of the gastroduodenal artery (GDA) by pancreatic enzymes and adjacent intra-abdominal sepsis....
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2015.10.007
更新日期:2016-02-01 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: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::Low-Phospholipid Associated Cholelithiasis (LPAC) is a genetic disease responsible for the development of intrahepatic lithiasis. It is associated with a mutation of the ABCB4 gene which codes for protein MDR3, a biliary carrier. As a nosological entity, it is defined by presence of two of the three following criteria...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2019.02.006
更新日期:2019-09-01 00:00:00
abstract::In spite of the ever-increasing hyper-specialization of gastro-intestinal surgeons, some surgical emergency procedures, such as tracheotomy, need to be mastered. The need for tracheotomy is sometimes so urgent that one cannot wait for a specialized surgeon to arrive or to transport the patient elsewhere. Even though p...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2020.10.002
更新日期:2021-02-01 00:00:00
abstract::Right paraduodenal internal hernia, which has an embryonic origin, can be a rare cause of bowel obstruction, generally in young adults. We report the case of a young man who sought emergency care for acute abdominal pain with obstruction. ...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2019.08.008
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Hepatectomy remains the standard treatment for large hepatocellular carcinoma (LHCC) ≥5cm. Fibrosis may constitute a contraindication for resection because of high risk of post-hepatectomy liver failure, but its impact on patient outcome and cancer recurrence remains ill defined. Our aim was to compare predi...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2017.10.015
更新日期:2018-09-01 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::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::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