Annals of the Royal College of Surgeons of England
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Ann R Coll Surg Engl · Apr 2015
Selective conservatism in the management of thoracic trauma remains appropriate in the 21st century.
Selective conservatism for thoracic trauma is well established but the emergence of new technologies may cause management strategies to continue to evolve. ⋯ The vast majority of patients with thoracic trauma can be managed conservatively with TT alone. Residual pathology appeared to be lowest in patients with a PTX, which seldom requires treatment, while only a minority of patients required repeat TTs or VATS for a retained HTX. Selective conservatism is still appropriate in the current era in a developing world setting.
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Ann R Coll Surg Engl · Apr 2015
Multicenter StudyRenal injury management in an urban trauma centre and implications for urological training.
The aim of this study was to analyse the treatment and management of renal injury patients presenting to our major trauma unit to determine the likelihood of patients needing immediate nephrectomy. ⋯ Trauma patients rarely require emergency nephrectomy. Radiological selective embolisation provides a good interventional option in cases of active bleeding from renal injury in haemodynamically stable patients. This has implications for trauma care and how surgical cover is provided for the rare event of nephrectomy.
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Ann R Coll Surg Engl · Apr 2015
Case ReportsSurgical repair of pulmonary vein injury from blunt trauma.
Pulmonary vein deceleration injury is rare and patients can be deceptively stable for a period after injury. Quick diagnosis and transfer to the operating theatre is the only way to treat this potentially lethal injury successfully. Techniques of repair are a useful addition to the cardiovascular surgeon's repertoire.