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A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

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[Abdominal penetrating trauma].

Søren Kring¹, Per Helligsøe, Lise Kåg

¹Ortopaedkirurgisk Afdeling, Sygehus Sønderjylland, DK-6200 Aabenraa. soeren@kringster.dk

Ugeskrift for Laeger

|August 13, 2009

Summary

A young woman sustained a penetrating spear injury to the abdomen during a horseback riding accident. Despite the impaled object, she remained hemodynamically stable, necessitating careful management of this critical trauma.

Area of Science:

Emergency Medicine
Trauma Surgery
Medical Case Reports

Background:

Penetrating trauma requires prompt and accurate assessment.
Impaled foreign bodies present unique management challenges.
Horseback riding accidents can result in severe injuries.

Observation:

A 19-year-old female presented after falling from a horse during a tilting contest.
A spear impaled the patient near the left iliac crest, directed towards the heart.
The patient was respiratorily and hemodynamically stable upon arrival.

Findings:

The impaled spear was stabilized but not removed by paramedics.
Emergency Room investigations were initiated to assess the extent of injury.
Guidelines for managing penetrating, impaled foreign bodies in the thoracoabdominal region were considered.

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Implications:

This case highlights the importance of a structured approach to impaled foreign body retrieval.
Stabilization of impaled objects is crucial prior to definitive management.
Adherence to established protocols can optimize outcomes in thoracoabdominal penetrating injuries.