- Fixation of Open Alveolar Bone Fractures: Easily Applicable Method in the Emergency Department
-
Seung Hwan Seol, Soo Hyun Cha, Sang Cheon Choi, Jung Hwan Ahn, Gi Woon Kim, Hea Kyung Choi, Joon Pil Cho, Yoon Seok Jung
-
J Korean Soc Traumatol. 2007;20(2):72-76.
-
-
-
 Abstract
 PDF
- PURPOSE
The purpose of this clinical trial was to evaluate the fixation method for treating alveolar fractures in an emergency department.
METHODS
The efficiency of using the fixation method was judged on the basis of clinical criteria. Stability, occlusion state, bleeding amount after fixation, operation time, and difficulties during procedural operation were recorded.
RESULTS
Eight patients were enrolled in this study. In all instances, the fixation method was effective in bleeding control. Each patient had a noticeable decrement in bleeding. A wire was used for four of the eight patients, and nylon strings was used for the others. The average operation time was 6.3 minutes for the wire patients and 2.8 minutes for the Nylon string patients. No specific problem was identified during the procedural operation. However, the difference in the fixation material influenced the effectiveness of the procedure, the operation time, and the satisfaction of the doctor.
CONCLUSION
In the emergency department, the fixation method using wire or nylon string in the treatment of alveolar fractures is effective in bleeding control.
-
Summary
- Use of a Postoperative Hepatic Arterial Embolization in Patients with Postoperative Bleeding due to Severe Hepatic Injuries
-
Soo Hyun Cha, Yong Sik Jung, Jae Hwan Won, Wook Whan Kim, Hee Jung Wang, Myung Wook Kim, Kug Jong Lee
-
J Korean Soc Traumatol. 2006;19(1):59-66.
-
-
-
Abstract
PDF
- PURPOSE
Acute liver failure after massive partial hepatectomy is critical condition with high mortality. To prevent postoperative liver failure from being induced by a massive partial hepatectomy, many doctors do a minimal resection on the single lobe of the liver that might cause postoperative bleeding from the remaining ruptured parenchyma. The objective of this study was to assess clinical experience with postoperative hepatic arterial embolization to control bleeding from the remaining ruptured liver during the postoperative period.
METHODS
This retrospective 4-year study was conducted from May 2002 to April 2006 and included consecutive patients who had sustained massive hepatic injuries and who had undergone a laparotomy, followed by postoperative hepatic arterial angiographic embolization to control bleeding. Data on the injury characteristics, the operative treatment and embolization, and the amount of transfused packed red cells (PRBC) were gathered and analyzed. In addition, data on the overall complications and survival rate were collected and analyzed.
RESULTS
Every case showed severe liver injury, higher liver injury scaling grade IV. Only ten cases involved a ruptured bilateral liver lobe. A lobectomy was done in 6 cases, a left lobectomy was done in 3 cases, and a primary suture closure of the liver was done in 2 cases. Suture closure was also done on the remaining ruptured liver parenchyma in cases of lobectomies. The postoperative hepatic arterial embolizations were done by using the super-selection technique. There were some cases of arterio-venous malformations and anomalous vessel branches. The average amount of transfused PRBC during 24 hours after embolization was 2.36+/-1.75, which statistically significantly lower than that before embolization. Among the 11 cases, 9 patients survived, and 2 died. There was no specific complications induced by the embolization.
CONCLUSION
In cases of postoperative bleeding in severe hepatic injury, if there is still a large amount of bleeding, postoperative hepatic arterial embolization might be a good therapeutic option.
-
Summary
|
KST
