Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Multiple abdominal trauma: therapeutical options].

Angelo Nespoli, Luca Gianotti

    Annali Italiani Di Chirurgia
    |November 24, 2005
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Use and implementation of prehabilitation in major abdominal surgery: Results of an international survey.

    Clinical nutrition (Edinburgh, Scotland)·2026
    Same author

    Clinical outcomes of hypertriglyceridemia-associated acute pancreatitis: a prospective multicenter Italian cohort.

    Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]·2026
    Same author

    The International Study Group for Pancreatic Surgery (ISGPS) Definition and Classification of Postpancreatectomy Mortality.

    Annals of surgery·2026
    Same author

    Post-surgical diets in the ERAS protocol: D-ERAS scoping review.

    European journal of clinical nutrition·2025
    Same author

    Construct Validity and Reliability of the Comprehensive Complication Index as a Morbidity Outcome Measure in Pancreatic Surgery.

    Annals of surgery·2025
    Same author

    ESPEN guideline on clinical nutrition in surgery - Update 2025.

    Clinical nutrition (Edinburgh, Scotland)·2025

    Multiple abdominal trauma is rare but deadly, with a 43.7% mortality rate. Non-operative management is only feasible in select cases of severe abdominal injury.

    Area of Science:

    • Trauma Surgery
    • Emergency Medicine
    • Surgical Critical Care

    Background:

    • Multiple abdominal injuries are infrequent, comprising 5% of all abdominal trauma cases.
    • These injuries predominantly result from blunt trauma, such as street accidents and falls.
    • Evaluating diagnostic and therapeutic strategies is crucial for improving outcomes.

    Purpose of the Study:

    • To analyze the diagnostic process, therapeutic interventions, complications, and survival rates in patients with multiple abdominal trauma.
    • To identify prognostic factors influencing patient outcomes in severe abdominal injuries.

    Main Methods:

    • A retrospective review of 310 patients with abdominal trauma, focusing on 16 patients with multiple abdominal injuries (≥2 organs).
    • Data collected included demographics, injury mechanisms, vital signs, Injury Severity Score (ISS), Abdominal Trauma Index (ATI), and Glasgow Coma Scale (GCS).

    Related Experiment Videos

  • Outcomes assessed included management strategies (operative vs. non-operative), complications, and mortality.

    • Main Results:

    • The mortality rate for multiple abdominal trauma was high at 43.7%, with all deaths occurring during surgery.
    • Initial hemodynamic instability, ISS, GCS, and ATI scores were significant negative prognostic factors.
    • Non-operative management was successful in only 2 of 6 attempted cases; 4 required surgery within 12 hours.

    Conclusions:

    • Non-operative management of multiple abdominal injuries is feasible but only in a small percentage of carefully selected patients.
    • Aggressive surgical intervention is often necessary for hemodynamic instability in these severe cases.