Journal of Trauma and Injury

Original Article

Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists: Shin Ae Lee, Yeon Jin Joo, Ye Rim Chang; J Trauma Inj. 2023;36(4):322-328. Published online December 1, 2023; DOI: https://doi.org/10.20408/jti.2023.0045

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Purpose
Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements.
Methods
An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment.
Results
Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement.
Conclusions
This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

Summary

Citations

Citations to this article as recorded by

Successful treatment of acute organophosphorus pesticide poisoning complicated by intestinal necrosis with exploratory laparotomy: a case report
Shuhong Wang, Lili Shi, Yin Tian, Jin Wu, Xiangui Zhou, Ruilie Wang, Yuanlan Lu, Anyong Yu
Open Medicine.2026;[Epub] CrossRef
The last chain of trauma survival: development of a scale for trauma-rehabilitation linkage in South Korea using a systematic review and expert consensus
Shin Ae Lee, Yeon Jin Joo, Sam Yeol Chang, Jae-Woo Cho, Se-Woong Chun, Junsik Kwon, Hyun-Ho Kong, Kyung-Hag Lee, Gil Jae Lee, Goo Joo Lee, Ye Rim Chang
Annals of Surgical Treatment and Research.2024; 107(5): 274. CrossRef

Case Report

Repair of traumatic flank hernia with mesh strip suture: a case report: Shin Ae Lee, Ye Rim Chang; J Trauma Inj. 2022;35(Suppl 1):S46-S52. Published online August 16, 2022; DOI: https://doi.org/10.20408/jti.2022.0026

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Abstract PDF

Traumatic flank hernia is a relatively rare hernia. We report a case of a male patient with severe multiple trauma, including abdominal injury, who presented with flank hernia 3 years postinjury. The hernia was successfully repaired using mesh strips suture, and at the 12-month follow-up, no complications or recurrence was found. Our findings indicate that when it is difficult to secure a sufficient operative field for mesh anchoring in a traumatic flank hernia, a technique of sutured repair with mesh strips may be considered as a treatment option as it requires less dissection. Compared to the conventional planar mesh repair, this technique decreases the risk of injuries and ischemic necrosis of the surrounding tissues.

Summary

Citations

Citations to this article as recorded by

Recurrent Flank Hernia Repair After Penetrating Abdominal Wall Trauma
Stephanie Nguyen, Yannis Karamitas, Alexander Vu, Ryan Robalino, Omkaar Jaikaran, Derek Lim, Prashant Sinha
Cureus.2026;[Epub] CrossRef
Robotic repair of off-midline abdominal wall hernias: a single institution consecutive case series
Priti Dutta, Gina Kim, Nathan English, Tapasya Katta, Gurudatta Naik, Margaux Mustian, Britney Corey, Abhishek D. Parmar
Hernia.2025;[Epub] CrossRef
Treatment strategy for acute blunt traumatic abdominal wall injury: a single-center retrospective study in Korea
Gun Woo Kim, Chang-Yeon Jung, Sung Hoon Cho, Suyeong Hwang, Kyoung Hoon Lim
Journal of Trauma and Injury.2025; 38(4): 373. CrossRef

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