Impalement Injuries
Impalement injuries are unusual, complex surgical problems. We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused...
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| Veröffentlicht in: | The journal of trauma 1985-09, Vol.25 (9), p.914-916 |
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| container_end_page | 916 |
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| container_issue | 9 |
| container_start_page | 914 |
| container_title | The journal of trauma |
| container_volume | 25 |
| creator | HOROWITZ, MICHAEL D. DOVE, DENNIS B. EISMONT, FRANK J. GREEN, BARTH A. |
| description | Impalement injuries are unusual, complex surgical problems. We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused by unusual bacterial and fungal pathogens. General principles of management includethe impaling object must be stabilized and manipulation avoided during extrication and transport. Operative removal requires careful preplanning, and should be tailored to the specific presenting injuries, with early multispecialty involvement as necessary. Extensive exposure is mandatory and may be achieved through a variety of standard or unconventional incisions so as to permit extraction of the impaled object under direct vision. Meticulous care of the traumatic wound is necessary, and careful followup is required for recognition and early management of infectious complications. |
| doi_str_mv | 10.1097/00005373-198509000-00017 |
| format | Article |
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We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused by unusual bacterial and fungal pathogens. General principles of management includethe impaling object must be stabilized and manipulation avoided during extrication and transport. Operative removal requires careful preplanning, and should be tailored to the specific presenting injuries, with early multispecialty involvement as necessary. Extensive exposure is mandatory and may be achieved through a variety of standard or unconventional incisions so as to permit extraction of the impaled object under direct vision. Meticulous care of the traumatic wound is necessary, and careful followup is required for recognition and early management of infectious complications.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-198509000-00017</identifier><identifier>PMID: 4032518</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Abdominal Injuries - complications ; Abdominal Injuries - surgery ; Adult ; Anti-Bacterial Agents - therapeutic use ; Ascomycota - isolation & purification ; Bacillus - isolation & purification ; Bacterial Infections - drug therapy ; Bacterial Infections - etiology ; Biological and medical sciences ; Humans ; Jejunum - injuries ; Jejunum - surgery ; Laminectomy ; Laparotomy ; Lumbar Vertebrae - injuries ; Lumbar Vertebrae - surgery ; Male ; Medical sciences ; Mesocolon - injuries ; Mesocolon - surgery ; Mycoses - drug therapy ; Mycoses - etiology ; Osteomyelitis - drug therapy ; Osteomyelitis - etiology ; Radiography ; Spinal Diseases - drug therapy ; Spinal Diseases - etiology ; Traumas. Diseases due to physical agents ; Wounds, Penetrating - complications ; Wounds, Penetrating - diagnostic imaging ; Wounds, Penetrating - surgery</subject><ispartof>The journal of trauma, 1985-09, Vol.25 (9), p.914-916</ispartof><rights>Williams & Wilkins 1985. 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We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused by unusual bacterial and fungal pathogens. General principles of management includethe impaling object must be stabilized and manipulation avoided during extrication and transport. Operative removal requires careful preplanning, and should be tailored to the specific presenting injuries, with early multispecialty involvement as necessary. Extensive exposure is mandatory and may be achieved through a variety of standard or unconventional incisions so as to permit extraction of the impaled object under direct vision. Meticulous care of the traumatic wound is necessary, and careful followup is required for recognition and early management of infectious complications.</description><subject>Abdominal Injuries - complications</subject><subject>Abdominal Injuries - surgery</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Ascomycota - isolation & purification</subject><subject>Bacillus - isolation & purification</subject><subject>Bacterial Infections - drug therapy</subject><subject>Bacterial Infections - etiology</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Jejunum - injuries</subject><subject>Jejunum - surgery</subject><subject>Laminectomy</subject><subject>Laparotomy</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesocolon - injuries</subject><subject>Mesocolon - surgery</subject><subject>Mycoses - drug therapy</subject><subject>Mycoses - etiology</subject><subject>Osteomyelitis - drug therapy</subject><subject>Osteomyelitis - etiology</subject><subject>Radiography</subject><subject>Spinal Diseases - drug therapy</subject><subject>Spinal Diseases - etiology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds, Penetrating - complications</subject><subject>Wounds, Penetrating - diagnostic imaging</subject><subject>Wounds, Penetrating - surgery</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LAzEQhoMotVZPnoUexNtqPiab5CjiR6HgRc8h3Z2lW7O7Ndml-O-Ndu3NQAjDPO8MPCFkzugto0bd0XSkUCJjRktqUpWly9QRmTLJTaY1NcdkSinnmeSan5KzGDcJARB6QiZABZdMT8nlotk6jw22_XzRboZQYzwnJ5XzES_Gd0benx7fHl6y5evz4uF-mRVCg8rYilarHDgtJecqzwEAjdEApnQCqZZlKTSWBVQ5OCZzU1BTKc5N5QAhl2JGbvZzt6H7HDD2tqljgd67FrshWpVzLQVVCdR7sAhdjAEruw1148KXZdT--LB_PuzBh_31kaJX445h1WB5CI4CUv967LtYOF8F1xZ1PGBaGC0YJAz22K7zPYb44YcdBrtG5_u1_e83xDeBHXP8</recordid><startdate>198509</startdate><enddate>198509</enddate><creator>HOROWITZ, MICHAEL D.</creator><creator>DOVE, DENNIS B.</creator><creator>EISMONT, FRANK J.</creator><creator>GREEN, BARTH A.</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198509</creationdate><title>Impalement Injuries</title><author>HOROWITZ, MICHAEL D. ; DOVE, DENNIS B. ; EISMONT, FRANK J. ; GREEN, BARTH A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3847-1b0fb6420d522766444e998449da3e085dd38edc4f64a1569c09f7229fa4e4653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Abdominal Injuries - complications</topic><topic>Abdominal Injuries - surgery</topic><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Ascomycota - isolation & purification</topic><topic>Bacillus - isolation & purification</topic><topic>Bacterial Infections - drug therapy</topic><topic>Bacterial Infections - etiology</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Jejunum - injuries</topic><topic>Jejunum - surgery</topic><topic>Laminectomy</topic><topic>Laparotomy</topic><topic>Lumbar Vertebrae - injuries</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesocolon - injuries</topic><topic>Mesocolon - surgery</topic><topic>Mycoses - drug therapy</topic><topic>Mycoses - etiology</topic><topic>Osteomyelitis - drug therapy</topic><topic>Osteomyelitis - etiology</topic><topic>Radiography</topic><topic>Spinal Diseases - drug therapy</topic><topic>Spinal Diseases - etiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Penetrating - complications</topic><topic>Wounds, Penetrating - diagnostic imaging</topic><topic>Wounds, Penetrating - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>HOROWITZ, MICHAEL D.</creatorcontrib><creatorcontrib>DOVE, DENNIS B.</creatorcontrib><creatorcontrib>EISMONT, FRANK J.</creatorcontrib><creatorcontrib>GREEN, BARTH A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOROWITZ, MICHAEL D.</au><au>DOVE, DENNIS B.</au><au>EISMONT, FRANK J.</au><au>GREEN, BARTH A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impalement Injuries</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1985-09</date><risdate>1985</risdate><volume>25</volume><issue>9</issue><spage>914</spage><epage>916</epage><pages>914-916</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>Impalement injuries are unusual, complex surgical problems. We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused by unusual bacterial and fungal pathogens. General principles of management includethe impaling object must be stabilized and manipulation avoided during extrication and transport. Operative removal requires careful preplanning, and should be tailored to the specific presenting injuries, with early multispecialty involvement as necessary. Extensive exposure is mandatory and may be achieved through a variety of standard or unconventional incisions so as to permit extraction of the impaled object under direct vision. Meticulous care of the traumatic wound is necessary, and careful followup is required for recognition and early management of infectious complications.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>4032518</pmid><doi>10.1097/00005373-198509000-00017</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-5282 |
| ispartof | The journal of trauma, 1985-09, Vol.25 (9), p.914-916 |
| issn | 0022-5282 1529-8809 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76285307 |
| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Abdominal Injuries - complications Abdominal Injuries - surgery Adult Anti-Bacterial Agents - therapeutic use Ascomycota - isolation & purification Bacillus - isolation & purification Bacterial Infections - drug therapy Bacterial Infections - etiology Biological and medical sciences Humans Jejunum - injuries Jejunum - surgery Laminectomy Laparotomy Lumbar Vertebrae - injuries Lumbar Vertebrae - surgery Male Medical sciences Mesocolon - injuries Mesocolon - surgery Mycoses - drug therapy Mycoses - etiology Osteomyelitis - drug therapy Osteomyelitis - etiology Radiography Spinal Diseases - drug therapy Spinal Diseases - etiology Traumas. Diseases due to physical agents Wounds, Penetrating - complications Wounds, Penetrating - diagnostic imaging Wounds, Penetrating - surgery |
| title | Impalement Injuries |
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