European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Apr 2019
ReviewDecision-making for complex scapula and ipsilateral clavicle fractures: a review.
Complex scapula with ipsilateral clavicle fracures remains a challange and treatment recommendations are still missing. This review provides an overview of the evolution of the definition, classification and treatment strategies for complex scapula and ipsilateral clavicle fractures. As with other rare conditions, consensus has not been reached on the most suitable management strategies to treat these patients. The aim of this review is twofold: to compile and summarize the currently available literature on this topic, and to recommend treatment approaches. ⋯ The role of instability in complex scapula with ipsilateral clavicle fractures remains unclear. The question of stability is preoperatively less relevant than the question of whether the dislocated fragments lead to compromised shoulder function.
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Eur J Trauma Emerg Surg · Apr 2019
Percutaneous cholecystostomy for severe (Tokyo 2013 stage III) acute cholecystitis.
To evaluate the impact of percutaneous cholecystostomy (PC) on severe acute cholecystitis (AC). ⋯ This study confirms that PC is a valuable tool in the treatment of severe AC. Randomized trials are needed to clarify the criteria for patient selection and to optimize the timing for both cholecystostomy and cholecystectomy.
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Eur J Trauma Emerg Surg · Apr 2019
Analysis of quality of life after major trauma: a spanish follow-up cohort study.
Study objectives are to determine whether quality of life is recovered completely after major injury and to identify determinants associated with a worse quality of life. ⋯ The quality of life score improves during the first year after major trauma. However, it does not return to the reference levels for the normal population. Female gender and age ≥ 55 years are statistically significant determinants of poorer EQvas and EQus.
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Eur J Trauma Emerg Surg · Apr 2019
Characteristics and management of penetrating abdominal injuries in a German level I trauma center.
Penetrating abdominal injuries caused by stabbing or firearms are rare in Germany, thus there is lack of descriptive studies. The management of hemodynamically stable patients is still under dispute. The aim of this study is to review and improve our management of penetrating abdominal injuries. ⋯ In hemodynamically stable patients presenting with penetrating abdominal trauma, CT is indicated and the majority of injuries can be managed conservatively. If surgical treatment is required, diagnostic laparoscopy for stable patients is feasible to avoid nontherapeutic laparotomy.
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Nonoperative management (NOM) of gunshot liver injuries (GLI) is infrequently practiced. The aim of this study was to assess the safety of selective NOM of GLI. ⋯ The NOM of carefully selected patients with GLI is safe and associated with minimal morbidity.