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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Muscles of the Abdomen01:21

Muscles of the Abdomen

The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

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Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
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Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation

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Traumatic abdominal wall injuries: a review.

A Rathore1, I Murherjee, P Kumar

  • 1University od Nebraska Medical Center Omaha, NE, USA - rathore.animesh@gmail.com.

Minerva Chirurgica
|June 19, 2013
PubMed
Summary

Traumatic abdominal wall injuries, affecting skin to fascia, often involve visceral damage. Diagnosis relies on clinical suspicion and imaging, with management varying from conservative care to reconstruction.

Area of Science:

  • Trauma surgery
  • Abdominal wall reconstruction
  • Surgical emergencies

Background:

  • Traumatic abdominal wall injuries have a documented history exceeding 100 years.
  • These injuries encompass damage from the skin down to the fascial layer.
  • A significant association exists between abdominal wall trauma and underlying visceral injuries.

Purpose of the Study:

  • To review the incidence, clinical features, and diagnostic approaches for traumatic abdominal wall injuries.
  • To outline current management strategies, including conservative and reconstructive options.
  • To explore potential interventions for preventing these types of injuries.

Main Methods:

  • Literature review of traumatic abdominal wall injuries.
  • Analysis of clinical presentation and diagnostic modalities.

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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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Use of a Rat Model to Study Ventral Abdominal Hernia Repair
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Use of a Rat Model to Study Ventral Abdominal Hernia Repair

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  • Evaluation of management protocols and preventative measures.

    • Main Results:

    • High index of suspicion is crucial for diagnosis.
    • Clinical examination and radiological investigations are key diagnostic tools.
    • Management strategies are diverse, ranging from conservative approaches to complex reconstructions.

    Conclusions:

    • Effective diagnosis necessitates a combination of clinical acumen and imaging.
    • Treatment plans are tailored to injury severity, from non-operative management to surgical reconstruction.
    • Further research into preventative strategies is warranted to reduce injury incidence.