Abstract Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) had been introduced as an innovative procedure for severe hemorrhage in abdomen or pelvis. We aimed to investigate risk factors associated with mortality after REBOA and construct a model predicting mortality. This multicenter retrospective study collected data from 251 patients admitted at five regional trauma centers across South Korea 2015 2022. The indications included experiencing hypovolemic shock due...

Objectives: As a protective measure to slow down the transmission of coronavirus disease 2019 in Korea, social distancing was implemented from February 29 th , 2020.This study aimed evaluate prevalence domestic incidents and intentional injury during March 2020 when effect.Methods: There were 12,638 patients who visited Level 1 trauma center Chungnam province with injuries incidents, familial discord, injury.The compared average previous 5 years, for every between 2015 2019.Results: The...

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as an adjunct to resuscitation patients with traumatic shock. However, effectiveness REBOA is still debated because inconsistent indications across centers and lack medical records. The purpose this study was investigate feasibility by analyzing clinical results from a single center.This included 96 who underwent between August 2016 September 2021 at regional trauma center according center's...

Background Fibrinogen concentrate (FC) can be administered during massive transfusions to manage trauma-induced coagulopathy. However, its effectiveness in survival remains inconclusive due scarce high-level evidence. This study aimed investigate the hemostatic effects of FC regarding mortality hemorrhage caused by trauma. Methods retrospective analyzed 839 patients who received (red blood cells (RBCs) ≥5 units 4 hours or ≥10 24 hours) at a level I trauma center between 2015 and 2022....

Obtaining an accurate pedigree is the first step in recognizing a patient with hereditary nonpolyposis colorectal cancer, or Lynch syndrome. However, lack of standardization degree relationship included pedigrees generally limits obtaining complete and/or pedigree.This study analyzed extent required to screen for cancer and diagnose syndrome.The was conducted at 2 tertiary care centers.A detailed family history obtained from patients undergoing surgery 2003 2016. A simplified that only...

In a Zone I retroperitoneal hematoma, surgical exploration is warranted. The medial visceral rotations are maneuvers used to expose structures; the great vessels and their branches. right left also known as Cattell-Braasch Mattox maneuvers, respectively. They should be performed according exact anatomic location of suspected injury. Herein, we describe review methodology via cases hematoma. Key Words: Retroperitoneal space; Abdominal injuries; Hematoma; Viscera; Rotation

The prevalence of traumatic abdominal wall hernias (TAWHs) after blunt trauma is approximately 1%. When TAWHs are accompanied by a Morel-Lavallée lesion (MLL), closed injury involving soft tissue degloving, affected patients become susceptible to severe infection, which necessitates challenging treatments. However, no guidelines regarding an optimal management strategy have been published. Here we describe the successful treatment TAWH MLL in anterior lower abdomen 66-year-old woman who...

Purpose: This study aimed to evaluate the utilization and outcomes of resuscitative endovascular balloon occlusion aorta (REBOA) in managing noncompressible torso hemorrhage (NCTH) among trauma patients Korea. The evolution REBOA its impact on patient survival was investigated as well predictors mortality.Methods: retrospective included 234 post-REBOA from 5 leading regional centers across Korea between 2016 2021. Primary were in-hospital mortality, secondary various clinical parameters...

Bladder injury is uncommon in blunt abdominal trauma. The can be life-threatening if not treated properly. Thus, timely and accurate diagnosis critical. Traumatic intraperitoneal bladder rupture (TIBR) managed laparoscopically patients who are hemodynamically stable. In this case series, we present 3 underwent laparoscopic repair of TIBR performed by a single surgeon. addition, address useful technical tips that would facilitate the generalized use laparoscopy for treating TIBR.

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is considered an emerging adjunct therapy for profound hemorrhagic shock, as it can maintain temporary stability until definitive repair injury. However, there limited information about use this procedure in children. Herein, we report a case REBOA pediatric patient with blunt trauma, wherein preoperative deployment played pivotal role damage control resuscitation. A 7-year-old male experienced cardiac arrest after motor...

Muscle injuries caused by indirect trauma during exercise are common. Most of these can be managed conservatively; however, further treatment is required in extreme cases. Although transcatheter arterial embolization a possible modality, its role traumatic muscle remains unclear. In this case series, we present three cases exercise-induced hemorrhage treated with successful outcomes. The damaged muscles were the rectus abdominis, adductor longus, and iliopsoas, vascular accessed via femoral...

Urinary bladder rupture is commonly due to blunt abdominal trauma rather than penetrating trauma. Intraperitoneal (IBR) a concrete indication of surgical management. On the other hand, surgeons should perform surgeries in patients with extraperitoneal (EBR) solely complicated cases. Uncomplicated EBR managed conservatively. Laparoscopic repair safe and effective for treatment IBR. However, there are no contemporary guidelines on application laparoscopy management EBR. Herein, we describe...

Chylothorax is mostly iatrogenic, with blunt chest trauma being a rare cause. Treatment depends on the volume of drainage. Specifically, conservative treatment, such as total parenteral nutrition and pleural drainage, performed in cases low daily output (< 500 mL/day). Patients persistent chylothorax despite medical treatment or high (> 1-1.5 L/day) are candidates for surgical radiological intervention. We present case delayed-onset after caused by thoracic spine fractures, which was...

Laparoscopic exploration for blunt trauma is safe in patients with stable hemodynamics. However, proceeding a laparoscopic procedure can be unsafe some cases; thus, switching to laparotomy necessary. Herein, we present case of laparoscopy converted due large amount food-material spillage. This demonstrates that prompt conversion open surgery another quality required successful outcomes trauma.

Introduction Small bowel bleeding after kidney transplantation is a complication that can occur from long-term multiple immunosuppressant use be fatal if it not managed appropriately. We present case of intractable small was treated successfully with thalidomide failed attempts embolization and surgical resection. Case A 65-year-old male patient diabetic nephropathy underwent living donor transplantation. The received the his daughter, who blood group-compatible donor. Immunosuppressive...

Damage control surgery (DCS) is an abbreviated laparotomy procedure that focuses on controlling bleeding to limit the surgical insult. It has become primary treatment modality for patients with exsanguinating truncal trauma. Herein, we present case of a 47-year-old woman liver, kidney, and superior mesenteric vein (SMV) injuries caused by motor vehicle collision. The patient underwent DCS following resuscitative endovascular balloon occlusion aorta (REBOA). In this report, discuss importance...

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an effective resuscitative modality to temporize noncompressible truncal hemorrhage. Confirming proper position catheter in target aortic zone vital. Currently, there a need for nonradiographical methods. This would overcome drawbacks conventional imaging modalities, such as fluoroscopy. Several studies have suggested ultrasound-guided visualization via subxiphoid, transperitoneal, or transesophageal views alternative...

Traumatic flank hernia (TFH) is rare and prone to recurrence, which makes appropriate treatment challenging. No current guidelines define the optimal timing method of repair. Meanwhile, recent advances in laparoscopic techniques are reshaping options for TFH. A dual approach that utilizes both open methods has not previously been reported. Herein, we present successful TFH after blunt trauma. 46-year-old male patient underwent elective herniorrhaphy on hospital day 3, implantation a sublay...

Isolated acute hemorrhagic cholecystitis (AHC) after blunt trauma is extremely rare. Thus, alcoholic liver cirrhosis can be a risk factor for this type of injury. The use point-of-care ultrasound as monitoring tool suspicious gallbladder injuries facilitates rapid recognition and decision-making. Therefore, laparoscopic cholecystectomy was recommended treating traumatic AHC in patients with hemodynamically stable cirrhosis.

Central venous catheters (CVCs) are commonly used in patients with trauma. The placement and removal of the CVCs can result various complications regardless skill professionals. Herein, two cases rare presented— an inadvertent subclavian artery catheterization a cerebral air embolism after CVC removal. Moreover, practical solutions for each complication provided detail.