Skip to main content
SpringerLink
Log in

Abdominalverletzungen

  • Chapter
Tscherne Unfallchirurgie

  • 99 Accesses

Zusammenfassung

Die Bauchhöhle und der Retroperitonealraum sind nach kranial gegen den Thorax durch das Zwerchfell und nach kaudal durch den Beckenboden abgegrenzt. Die Rückwand ist durch die Wirbelsäule, Teile des knöchernen Brustkorbs und Becken und die kräftige Muskulatur des M.erector spinae relativ gut geschützt. Während dies teilweise auch noch für die Flankenbegrenzung gilt, stellt die ventrale Bauchdekke die vulnerabelste Fläche für Gewalteinwirkungen dar. Bei stumpfen Traumen sind v.a. die parenchymatösen Oberbauchorgane gefährdet. Massiver Druckaufbau führt zur Berstung von Hohlorganen und der Bauchhöhle selbst (Zwerchfell). Dezelerationen lassen mobil fixierte Organe ab- bzw. einreißen oder führen an ihren Gefäßstielen zu Traktionsschäden der Intima. Penetrierende Verletzungen können schließlich alle Organe treffen, wobei der Darm häufig multiple Läsionsstellen aufweist

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Aaron WS, Fulton RL, Mays ET (1979) Selective ligation of the hepatic artery and trauma. Surg Gynaecol Obstet 141: 187

    Google Scholar 

  • Akhrass R, Yafffe MB, Brandt CP, Reigle M, Fallon WF, Malangoni MA. (1997) Pancreatic trauma: A ten-year multi-institutional experience. Am Surg 63: 598–604

    PubMed  CAS  Google Scholar 

  • Ala Kulju K, Verkkala K, Ketonen P, Marjola PT (1986) Traumatic rupture of the right hemidiaphragm. Scand J Thorac Cardiovasc Surg 20: 109–114

    Google Scholar 

  • Alizadeh N, Savioz D, Buhler L, Becker C, Cereda JM, Morel Ph (1998) Bowel lesion in blunt abdominal trauma — Role of the CT-Scan. Swiss Surg 4: 216–220

    Google Scholar 

  • Allen GS, Moore FA, Cox CS Jr et al. (1998) Delayed diagnosis of blunt duodenal injury: An avoidable complication. J Am Coll Surg 187: 393–399

    PubMed  CAS  Google Scholar 

  • Allen JC (1994) Post-traumatic small bowel obstruction. J R Army Med Corps 140: 47–48

    PubMed  CAS  Google Scholar 

  • American Association for Automotive Medicine (1990) The Abbreviated Injury Scale (AIS-90), rev. Assoc of Advancement of Automotive Medicine, Des Plaines/IL

    Google Scholar 

  • Anyanwu CH, Umeh BU, Swarup AS (1987) Management of traumatic rupture of the diaphragm [published erratum appears in Br J Surg 1987, 74: 437]. Br J Surg 74: 181–183

    PubMed  CAS  Google Scholar 

  • Archer LP, Rogers FB, Shackford SR (1996) Selective nonoperative management of liver and spleen injuries in neurologically impaired adult patients. Arch Surg 131: 309–315

    PubMed  CAS  Google Scholar 

  • Asensio JA, Feliciano DV, Britt LD, Kerstein MD (1993) Management of duodenal injuries. Curr Probl Surg 30: 1021–1100

    Google Scholar 

  • Asensio JA, Demetriades D, Rodriguez A (1996) Injury to the diaphragm. In: Feliciano DJ, Moore EE, Mattox KL (eds) Trauma. Appleton & Lange, Stamford/CT, pp 461–486

    Google Scholar 

  • Baker SP, O’Neill B, Haddon W et al. (1974) The Injury Severitiy Score: A method for describing patients with multiple injuries and evaluating emergency care. J Trauma 14: 187–196

    PubMed  CAS  Google Scholar 

  • Bakker FC, Wille F, Patka P, Haarman HJ (1995) Surgical treatment of liver injury with an absorbable mesh: An experimental study. J Trauma 38: 891–894

    PubMed  CAS  Google Scholar 

  • Ballard RB, Badellino MM, Eynon CA et al. (1997) Blunt duodenal rupture: A 6-year statewide experience. J Trauma 43: 229–232

    PubMed  CAS  Google Scholar 

  • Beal SL (1990) Fatal hepatic hemorrhage — an unresolved problem in the management of complex liver injuries. J Trauma 30: 163

    PubMed  CAS  Google Scholar 

  • Beckingham IJ, Krige JE, Bornman PC, Terblanche J (1999) Long term outcome of endoscopic drainage of pancreatic pseudocysts. Am J Gastroenterol 94: 71–74

    PubMed  CAS  Google Scholar 

  • Behrman SW, Bertken KA, Stefanacci HA, Parks SN (1998) Breakdown of intestinal repair after laparotomy for trauma: Incidence, risk factors, and strategies for prevention. J Trauma 45: 227–231

    PubMed  CAS  Google Scholar 

  • Berne JD, Velmahos GC, Chan LS et al. (1998) The high morbidity of colostomy closure after trauma: Further support for the primary repair of colon injuries. Surgery 123: 157–164

    PubMed  CAS  Google Scholar 

  • Bittner R, Roscher R (1990) Stomach, duodenal and pancreatic injuries: Diagnosis, surgical procedure. Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir 617–623

    Google Scholar 

  • Blum U, Buitrago Tellez C, el Seif M, Wimmer B (1993) Posttraumatic bilhemia: Conservative management by percutaneous drainage. Cardiovasc Intervent Radiol 16: 55–57

    PubMed  CAS  Google Scholar 

  • Bond SJ, Eichelberger MR, Gottschall CS et al. (1996) Nonoperative management of blunt hepatic and splenic injury in children. Ann Surg 223: 286–289

    PubMed  CAS  Google Scholar 

  • Boone DC, Federle M, Billiar TR et al. (1995) Evolution of management of major hepatic trauma: Identification of patterns of injury. J Trauma 39: 344–350

    PubMed  CAS  Google Scholar 

  • Bostman L, Bostman O, Leppaniemi A, Haapiainen R (1989) Primary duodenorrhaphy and nasogastric decompression in the treatment of duodenal injury. Acta Chir Scand 155: 333–335

    PubMed  CAS  Google Scholar 

  • Boulanger BR, Milzman DP, Rosati C, Rodriguez A (1993) A comparison of right and left blunt traumatic diaphragmatic rupture. J Trauma 35: 255–260

    PubMed  CAS  Google Scholar 

  • de Bree E, Schoretsanitis G, Melissas J, Tsiftsis D (1998) Intramural haematoma of the duodenum: A rare cause of duodenal obstruction. Acta Gastroenterol Belg 61: 485–487

    PubMed  Google Scholar 

  • Brunsting LA, Morton JH (1987) Gastric rupture from blunt abdominal trauma. J Trauma 27: 887–891

    PubMed  CAS  Google Scholar 

  • Bühren V, Trentz O (1989) Ballonblockade der Aorta bei traumatischer Massenblutung. Unfallchirurg 92: 309

    PubMed  Google Scholar 

  • Burch JM, Martin RR et al. (1991) Evolution of the treatment of the injured colon in the 1980 s. Arch Surg 126: 979–983

    PubMed  CAS  Google Scholar 

  • Carboni GL, Röthlin M, Trentz O (1999) Verfahrenswahl in der Behandlung von Pankreasverletzungen. Unfallchirurg 102: 298–304

    PubMed  CAS  Google Scholar 

  • Carrillo EH, Richardson JD, Miller FB (1996a) Evolution in the management of duodenal injuries. J Trauma 40: 1037–1046

    PubMed  CAS  Google Scholar 

  • Carrillo EH, Somberg LB, Ceballos CE et al. (1996b) Blunt traumatic injuries to the colon and rectum. J Am Coll Surg 183: 548–542

    PubMed  CAS  Google Scholar 

  • Carrillo EH, Platz A, Miller FB et al. (1998) Non-operative management of blunt hepatic trauma. Br J Surg 85: 461–468

    PubMed  CAS  Google Scholar 

  • Chandler CF, Lane JS, Waxman KS (1997) Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury. Am Surg 63: 885–888

    PubMed  CAS  Google Scholar 

  • Chappuis CW, Frey DJ, Dietzen CD et al. (1991) Management of penetrating colon injuries. Ann Surg; 213: 492–498

    PubMed  CAS  Google Scholar 

  • Chen JC, Wilson SE (1991) Diaphragmatic injuries: Recognition and management in sixty-two patients. Am Surg 57: 810

    PubMed  CAS  Google Scholar 

  • Chen RJ, Fang JF, Lin BC et al. (1998) Selective application of laparoscopy and fibrin glue in the failure of nonoperative management of blunt hepatic trauma. J Trauma 44: 691–695

    PubMed  CAS  Google Scholar 

  • Christo MC, DiDio LJ (1997) Anatomical and surgical aspects of splenic segmentectomies. Anat Anz 179: 461–474

    CAS  Google Scholar 

  • Christophi C, McDermott FT et al. (1985) Seat belt-induced trauma to the small bowel. World J Surg 9: 794–797

    PubMed  CAS  Google Scholar 

  • Ciraulo DL, Luk S, Palter M et al. (1998) Selective hepatic arterial embolization of grade IV and V blunt hepatic injuries: An extension of resuscitation in the nonoperative management of traumatic hepatic injuries. J Trauma 45: 353–358

    PubMed  CAS  Google Scholar 

  • Clancy TV, Ramshaw DG, Maxwell JG et al. (1997) Management outcomes in splenic injury: A statewide trauma center review. Ann Surg 226: 17–24

    PubMed  CAS  Google Scholar 

  • Clarnette TD, Beasley SW (1997) Handlebar injuries in children: Patterns and prevention. Aust N Z J Surg 67: 338–339

    PubMed  CAS  Google Scholar 

  • Cocanour CS, Moore FA, Ware DN et al. (1998) Delayed complications of nonoperative management of blunt adult splenic trauma. Arch Surg 133: 619–624

    PubMed  CAS  Google Scholar 

  • Cogbill TH, Moore EE, Jurkovic J et al. (1989) Non-operative management of blunt splenic trauma: A multicenter experience. J Trauma 29: 1312

    PubMed  CAS  Google Scholar 

  • Cogbill TH, Moore EE, Jurkovic GJ, Feliciano DV, Morris JA, Mucha P (1988) Severe hepatic trauma: A multi-center experience with 1335 liver injuries. J Trauma 28: 1433–1438

    PubMed  CAS  Google Scholar 

  • Cogbill TH, Moore EE, Feliciano DV et al. (1990) Conservative management of duodenal trauma: A multicenter perspective. J Trauma 30: 1469–1475

    PubMed  CAS  Google Scholar 

  • Cohn SM, Cross JH, Ivy ME et al. (1998) Fibrin glue terminates massive bleeding after complex hepatic injury. J Trauma 45: 666–672

    PubMed  CAS  Google Scholar 

  • Coleman EJ, Dietz PA (1990) Small bowel injuries following blunt abdominal trauma. Early recognition and management. N Y State J Med 90: 446–449

    PubMed  CAS  Google Scholar 

  • Cripps NP, Cooper GJ (1997) Intestinal injury mechanisms after blunt abdominal impact. Ann R Coll Surg Engl 79: 115–120

    PubMed  CAS  Google Scholar 

  • Croce MA, Fabian TC, Menke PG et al. (1995) Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg 221: 744–753

    PubMed  CAS  Google Scholar 

  • Cruz CJ, Minagi H (1994) Large-bowel obstruction resulting from traumatic diaphragmatic hernia: Imaging findings in four cases [see comments]. AJR Am J Roentgenol 162: 843–845

    PubMed  CAS  Google Scholar 

  • Domene CE, Volpe P, Santo MA et al. (1998) Laparoscopic treatment of traumatic diaphragmatic hernia. J Laparoendosc Adv Surg Tech A 8: 225–229

    PubMed  CAS  Google Scholar 

  • Drews JA, Mercer EC, Benfield JR (1973) Acute diaphragmatic injuries. Ann Thorac Surg 16: 67

    PubMed  CAS  Google Scholar 

  • Durham R (1990) Management of gastric injuries. Surg Clin North Am 70: 517–527

    PubMed  CAS  Google Scholar 

  • Eddington HD, Evans S, Sindelar WF (1989) Reconstruction of functional hemidiaphragm with use of omentum and latissimus dorsi flaps. Surgery 105: 442

    Google Scholar 

  • Edwards DP, Galbraith KA (1998) Colonic anastomosis in the presence of fecal peritonitis using a disposable skin stapler. J Invest Surg 11: 267–274

    PubMed  CAS  Google Scholar 

  • Eltahir EM, Hamilton D (1997) Seat belt injuries and sigmoid colon trauma. J Accid Emerg Med 14: 338–339

    PubMed  CAS  Google Scholar 

  • Ertel W, Trentz O (1997) Neue diagnostische Strategien beim Polytrauma. Chirurg 68: 1071–1075

    PubMed  CAS  Google Scholar 

  • Ertel W, Oberholzer A, Platz A, Stocker R, Trentz O (1998) Das abdominale Kompartmentsyndrom (AKS) nach schwerem Bauch-und oder Beckentrauma. Langenbecks Arch Chir Suppl II Kongressbd 115: 1189–1190

    CAS  Google Scholar 

  • Eypasch E, Bouillon B, Tiling T, Troidl H (1994) Laparoskopie beim Bauchtrauma. Langenbecks Arch Chir Suppl II: 439

    Google Scholar 

  • Fabian TC, Croce MA (1996) Abdominal trauma, including indications for celiotomy. In: Feliciano DJ, Moore EE, Mattox IL (eds) Trauma. Appleton & Lange, Stamford/CT, p 443

    Google Scholar 

  • Falcone RE, Wanamaker SR, Santanello SA, Carey LC (1992) Colorectal trauma: Primary repair or anastomosis with intracolonic bypass vs. ostomy. Dis Colon Rectum 35: 957–963

    PubMed  CAS  Google Scholar 

  • Feliciano DV (1990) Management of traumatic retroperitoneal hematoma. Ann Surg 211: 109–123

    PubMed  CAS  Google Scholar 

  • Feliciano DV (1992) Continuing evolution in the approach to severe liver trauma. Ann Surg 216: 521

    PubMed  CAS  Google Scholar 

  • Feliciano DV, Martin TD, Cruse PA et al. (1987) Management of combined pancreatoduodenal injuries. Ann Surg 205: 673–680

    PubMed  CAS  Google Scholar 

  • Feliciano DV, Burch JM, Spjut Patrinely V, Mattox KL, Jordan GL Jr (1988) Abdominal gunshot wounds: An urban trauma center’s experience with 300 consecutive patients. Ann Surg 208: 362–370

    PubMed  CAS  Google Scholar 

  • Femi Pearse J, Mahmoud A, Kolachalam RB (1998) Laparoscopic control of bleeding liver laceration. Surg Endosc 12: 1171–1172

    Google Scholar 

  • Freixinet JL, Segur JM, Mestres CA et al. (1987) Traumatic injuries of the diaphragm. Experience in 33 cases. Thorac Cardiovasc Surg 35: 215–218

    PubMed  CAS  Google Scholar 

  • Függer R, Kail M, Fritsch A (1993) Trauma des biliopankreatischen Kompartiments. Chirurg 64: 869

    PubMed  Google Scholar 

  • Funnell IC, Bornman PC, Krige JE et al. (1994) Endoscopic drainage of traumatic pancreatic pseudocyst. Br J Surg 81: 879–881

    PubMed  CAS  Google Scholar 

  • Gavant ML, Schurr M, Flick PA et al. (1997) Predicting clinical outcome of nonsurgical management of blunt splenic injury: Using CT to reveal abnormalities of splenic vasculature. AJR Am J Roentgenol 168: 207–212

    PubMed  CAS  Google Scholar 

  • George SM, Fabian TC, Voeller GR et al. (1989) Primary repair of colon wounds. Ann Surg 209: 728–734

    PubMed  Google Scholar 

  • Ginzburg E, Shatz D, Lynn M et al. (1998) The role of liver transplantation in the subacute trauma patients. Am Surg 64: 363–364

    PubMed  CAS  Google Scholar 

  • Glaser K, Wetscher G, Pointner R, Schwab G et al. (1994) Traumatic bilhemia. Surgery 116: 24–27

    PubMed  CAS  Google Scholar 

  • Goan YG, Huang MS, Lin JM (1998) Nonoperative management for extensive hepatic and splenic injuries with significant hemoperitoneum in adults. J Trauma 45: 360–364

    PubMed  CAS  Google Scholar 

  • Goff CD, Gilbert CM (1995) Nonoperative management of blunt hepatic trauma. Am Surg 61: 66–68

    PubMed  CAS  Google Scholar 

  • Goins WA, Rodriguez A, Lewis J, Brathwaite CE, James E (1992) Retroperitoneal hematoma after blunt trauma. Surg Gynaecol Obstet 174: 281–290

    CAS  Google Scholar 

  • Gonzalez RP, Merlotti GJ, Holevar MR (1996) Colostomy in penetrating colon injury: Is it necessary? J Trauma 41: 271–275

    PubMed  CAS  Google Scholar 

  • Graffner H, Gullstrand P, Hallberg T (1982) Immunocompetence after incidental splenectomy. Scand J Haematol 28: 329

    Google Scholar 

  • Guarino J, Hassett JM Jr, Luchette FA (1995) Small bowel injuries: Mechanisms, patterns, and outcome. J Trauma 39: 1076–1080

    PubMed  CAS  Google Scholar 

  • Hagiwara A, Yukioka T, Ohta S et al. (1996) Nonsurgical management of patients with blunt splenic injury: Efficacy of transcatheter arterial embolization. AJR Am J Roentgenol 167: 159–166

    PubMed  CAS  Google Scholar 

  • Harms J, Helmberger H, Golder W, Heidecke CD (1996) Interventional radiology in the treatment of blunt liver trauma: Case report with review of literature. Bildgebung 63: 51–54

    PubMed  CAS  Google Scholar 

  • Heimansohn DA, Canal DF, Mc Carthy MC (1990) The role of pancreatico-duodenectomy in the management of traumatic injuries to the pancreas and duodenum. Am Surg 56: 511

    PubMed  CAS  Google Scholar 

  • Hidalgo F, Narvaez JA, Rene M (1995) Treatment of hemobilia with selective hepatic artery embolization. J Vase Interv Radiol 6: 793–798

    CAS  Google Scholar 

  • Holcomb JB, Pusateri AE, Harris RA et al. (1999) Effect of dry fibrin sealant dressings versus gauze packing on blood loss in grade V liver injuries in resuscitated swine. J Trauma 46: 49–57

    PubMed  CAS  Google Scholar 

  • Hollands MJ, Little JM (1990) The role of hepatic resection in the management of blunt liver trauma. World J Surg 14: 478–482

    PubMed  CAS  Google Scholar 

  • Ilgenfritz FM, Stewart DE (1992) Blunt trauma of the diaphragm: A 15-county, private hospital experience. Am Surg 58: 334–338

    PubMed  CAS  Google Scholar 

  • Ivatury RR, Nallathambi M, Gunduz Y, Constable R et al. (1986) Liver packing for uncontrolled hemorrhage — a reappraisal. J Trauma 26: 744

    PubMed  CAS  Google Scholar 

  • Ivatury RR, Nassoura ZE, Simon RJ, Rodriguez A (1996) Complex duodenal injuries. Surg Clin North Am 76: 797–812

    PubMed  CAS  Google Scholar 

  • Jacobi T, Nagel M, Saeger HD (1997) Verletzungen des Pankreas. Chirurg 68: 624–629

    PubMed  CAS  Google Scholar 

  • Jurkovic GJ, Carrico CJ (1990) Pancreatic trauma. Surg Clin North Am 70: 575–593

    Google Scholar 

  • Klemm G, Meissner A, Boese Landgraf J (1989) Intrathoracic hemorrhage of the intra-abdominal organs following diaphragmatic rupture. A rare cause of hemothorax. Aktuelle Traumatol 19: 212–214

    PubMed  CAS  Google Scholar 

  • Kohn JS, Clark DE, Isler RJ, Pope CF (1994) Is computed tomographic grading of splenic injury useful in the nonsurgical managment of blunt trauma? J Trauma 36: 385–390

    PubMed  CAS  Google Scholar 

  • Kunin JR, Korobkin M, Ellis JH et al. (1993) Duodenal injuiries caused by blunt abdominal trauma: Value of CT in differentiating perforation from hematoma. AJR Am J Roentgenol 160: 1221–1223

    PubMed  CAS  Google Scholar 

  • Lackgren G, Lorelius LE, Olsen L, Wassen C (1988) Hemobilia in childhood. J Pediatr Surg 23: 105–108

    PubMed  CAS  Google Scholar 

  • Leonard AS, Giebink GS, Baesl TJ, Krivit W (1980) The overwhelming post-splenectomy sepsis problem. World J Surg 4: 1423

    Google Scholar 

  • Leppaniemi A, Pohjankyro A, Haapiainen R (1994) Acute diaphragmatic rupture after blunt trauma. Ann Chir Gynaecol 83: 17–21

    PubMed  CAS  Google Scholar 

  • Levine CD, Gonzales RN et al. (1997) CT findings of bowel and mesenteric injury. J Comput Assist Tomogr 21: 974–979

    PubMed  CAS  Google Scholar 

  • Lindsey I, Woods SD, Nottle PD (1997) Laparoscopic management of blunt diaphragmatic injury. Aust N Z J Surg 67: 619–621

    PubMed  CAS  Google Scholar 

  • Linet MS, Nyren O, Gridley G et al. (1996) Causes of death among patients surviving at least one year following splenectomy. Am J Surg 172: 320–323

    PubMed  CAS  Google Scholar 

  • Livingston DH, Bartholomew JT, Blackwood J, Machiedo GW, Rush BF (1992) The role of laparoscopy in abdominal abdominal trauma. J Trauma 33: 471

    PubMed  CAS  Google Scholar 

  • Lynch AM, Kapila R (1996) Overwhelming post splenectomy infection. Infect Dis Clin North Am: 10: 693–707

    PubMed  CAS  Google Scholar 

  • Martin I, O’Rourke N, Gotley D, Smithers M (1998) Laparoscopy in the management of diaphragmatic rupture due to blunt trauma. Aust N Z J Surg 68: 584–586

    PubMed  CAS  Google Scholar 

  • Maurel J, Aouad K, Martel B et al. (1994) Post-traumatic hemobilia. How to treat? Apropos of a case. Ann Chir 48: 572–575

    PubMed  CAS  Google Scholar 

  • Melcher GA, Ryf C, Leutenegger A, Rüedi T (1994) High grade liver rupture — is nonsurgical therapy feasible?. Z Unfallchir Versicherungsmed 87: 186–191

    Google Scholar 

  • Meldrum DR, Moore FA, Moore EE, Franciose RJ, Sauaia A, Burch JM. (1997) Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 174: 667–673

    PubMed  CAS  Google Scholar 

  • Menegaux F, Langlois P, Chigot JP (1993) Severe blunt trauma of the liver: Study of mortality factors. J Trauma 35: 865–869

    PubMed  CAS  Google Scholar 

  • Meredith JW, Young JS, Bowling J, Roboussin D (1994) Nonoperative management of blunt hepatic trauma: The exception or the rule? J Trauma 36: 529–534

    PubMed  CAS  Google Scholar 

  • Merrell SW, Schneider PD (1991) Hemobilia — evolution of current diagnosis and treatment. West J Med 155: 621–625

    PubMed  CAS  Google Scholar 

  • Metzger J, Flue M von, Babst R, Harder F (1995) Dünndarmverletzungen beim stumpfen Bauchtrauma — Ein diagnostisches Problem. Swiss Surg 5: 222–225

    PubMed  Google Scholar 

  • Meyers BF, McCabe CJ (1993) Traumatic diaphragmatic hernia. Occult marker of serious injury. Ann Surg 218: 783–790

    PubMed  CAS  Google Scholar 

  • Mihmanli M, Erzurumlu K, Guney M (1996) Primary repairing in penetrating colon injuries. Hepatogastroenterology 43: 819–822

    PubMed  CAS  Google Scholar 

  • Miller L, Bennett EV, Root HD et al. (1984) Management of penetrating and blunt diaphragmatic injury. J Trauma 24: 403

    PubMed  CAS  Google Scholar 

  • Mirvis SE, Gens DR, Shanmuganathan K, (1992) Rupture of the bowel after blunt abdominal trauma: Diagnosis with CT. AJR Am J Roentgenol 159: 1217–1221

    PubMed  CAS  Google Scholar 

  • Moore EE (1984) Critical decision in the management of hepatic trauma. Am J Surg 148: 712

    PubMed  CAS  Google Scholar 

  • Moore EE, Dunn EL, Moore JB, Thompson JS (1981) Penetrating abdominal trauma index. J Trauma 21: 439–445

    PubMed  CAS  Google Scholar 

  • Moore EE, Cogbill TH, Malangoni MA et al. (1990) Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 30: 1427–1429

    PubMed  CAS  Google Scholar 

  • Moore EE, Malangoni MA, Cogbill TH et al. (1994) Organ injury scaling. IV: Thoracic vascular, lung, cardiac, and diaphragm. J Trauma 36: 299–300

    PubMed  CAS  Google Scholar 

  • Moore EE, Cogbill TH, Jurkovic GJ, Shackford SR, Malangoni MA, Champion HR (1995a) Organ injury scaling: Spleen and liver (1994 rev.). J Trauma 38: 323–324

    PubMed  CAS  Google Scholar 

  • Moore EE, Jurkovic GJ, Knudson MM, Cogbill TH, Malangoni MA, Champion HR, Shackford SR (1995b) Organ injury scaling. VI: Extrahepatic biliary, esophagus, stomach, vulva, vagina, uterus, fallopian tube, and ovary. J Trauma 39: 1069–1070

    PubMed  CAS  Google Scholar 

  • Moore EE, Burch JM, Franciose RJ, Offner PJ, Biffl WL (1998) Staged physiologic restoration and damage control surgery. World J Surg 22: 1184–1190

    PubMed  CAS  Google Scholar 

  • Morris JA, Eddy VA, Rutherford EJ (1996) The trauma celiotomy: The evolving concepts of damage control. Curr Probl Surg 33: 611–700

    PubMed  Google Scholar 

  • Mucha P, Daly RC, Farnel MB (1986) Selective management of blunt splenic trauma. J Trauma 26: 970

    PubMed  Google Scholar 

  • Nagel M, Saeger HD, Massoun H, Buschulte J (1991) Injuries of the small and large intestine in the traumatized abdomen. Unfallchirurg 94: 105–109

    PubMed  CAS  Google Scholar 

  • Namieno T, Hata Y, Uchino J et al. (1994) Blunt liver trauma: A new concept for classification of liver trauma based on vessel injury. Int Surg 79: 52–59

    PubMed  CAS  Google Scholar 

  • Nast-Kolb D, Trupka A, Ruchholtz S, Schweiberer L (1998) Abdominaltrauma. Unfallchirurg 101: 82–91

    PubMed  CAS  Google Scholar 

  • Neugebauer H, Wallenboeck E, Hungerford M (1999) Seventy cases of injuries of the small intestine caused by blunt abdominal trauma: A retrospective study from 1970-1994. J Trauma 46: 116–121

    PubMed  CAS  Google Scholar 

  • Nolan BW, Gabram SG, Schwartz RJ, Jacobs LM (1995) Mesenteric injury from blunt abdominal trauma. Am Surg 61: 501–506

    PubMed  CAS  Google Scholar 

  • Ordog GJ (ed) (1993) Management of gunshot wounds, New York, Elsevier

    Google Scholar 

  • Orsay CP, Merlotti G, J et al. (1989) Colorectal trauma. Dis Colon Rectum 32: 188–190

    PubMed  CAS  Google Scholar 

  • Pachter HL, Spencer FC, Hofstetter SR et al. (1992) Significant trends in the treatment of hepatic trauma. Experience with 411 injuries. Ann Surg 215: 492–500

    PubMed  CAS  Google Scholar 

  • Pachter HL, Knudson MM, Esrig B et al. (1996) Status of nonoperative management of blunt hepatic injuries in 1995: A multicenter experience with 404 patients [see comments]. J Trauma 40: 31–38

    PubMed  CAS  Google Scholar 

  • Pachter HL, Guth AA, Hofstetter SR, Spencer FC (1998) Changing patterns in the management of splenic trauma: The impact of nonoperative management. Ann Surg 227: 708–717

    PubMed  CAS  Google Scholar 

  • Pagliarello G, Carter J (1992) Traumatic injury to the diaphragm: Timely diagnosis and treatment. J Trauma 33: 194

    PubMed  CAS  Google Scholar 

  • Patel NY, Cogbill TH, Gundersen LH (1996) Angioembolization of multiple intrasplenic pseudoaneurysms as a result of blunt trauma [letter]. J Vase Surg 24: 299–301

    CAS  Google Scholar 

  • Patton J, Fabian T (1996) Complex pancreatic injuries. Surg Clin North Am 76: 783–796

    PubMed  Google Scholar 

  • Powell DC, Bivins BA, Bell RM (1982) Diagnostic peritoneal lavage. Surg GynaecolObstet 155: 257

    CAS  Google Scholar 

  • Powell M, Courcoulas A, Gardner M et al. (1997) Management of blunt splenic trauma: Significant differences between adults and children. Surgery 122: 654–660

    PubMed  CAS  Google Scholar 

  • Reed RL, Merrell RC, Meyers WC, Fischer RP (1992) Continuing evolution in the approach to severe liver trauma. Ann Surg 216: 524

    PubMed  Google Scholar 

  • Reid MM (1994) Splenectomy, sepsis, immunisation, and guidelines. Lancet 344: 970–971

    PubMed  CAS  Google Scholar 

  • Richardson A, Simmons K, Gutmann J et al. (1985) Hepatic haemobilia: Non-operative management in eight cases. Aust N Z J Surg 55: 447–451

    PubMed  CAS  Google Scholar 

  • Ringe B, Pichlmayr R (1995) Total hepatectomy and liver transplantation: A life-saving procedure in patients with severe hepatic trauma. Br J Surg 82: 837–839

    PubMed  CAS  Google Scholar 

  • Rodriguez-Morales G, Rodriguez A, Shatney CH (1986) Acute rupture of the diaphragm in blunt trauma: Analysis of 60 patients. J Trauma 26: 428

    Google Scholar 

  • Root HD, Hauser CW, McKinley CR. (1965) Diagnostic peritoneal lavage. Surgery 57: 633

    PubMed  CAS  Google Scholar 

  • Ross SE, Cobean RA, Hoyt DB et al. (1992) Blunt colonic injury-a multicenter review. J Trauma 33: 379–384

    PubMed  CAS  Google Scholar 

  • Röthlin M, Trentz O (1997) Stellenwert der diagnostischen Laparoskopie beim Abdominaltrauma. Unfallchirurg 100: 595–600

    PubMed  Google Scholar 

  • Röthlin MA, Näf R, Amgwerd M, Candinas D, Frick T, Trentz O (1993) Ultrasound in blunt abdominal and thoracic trauma. J Trauma 34: 488–495

    PubMed  Google Scholar 

  • Rotondo MF, Zonies DH (1997) The damage control sequence and underlying logic. Surg Clin North Am 77: 761–777

    PubMed  CAS  Google Scholar 

  • Rotondo MF, Schwab CW, McGonigal MD et al. (1993) Damage control: An approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma 35: 375

    PubMed  CAS  Google Scholar 

  • Rozycki GS, Ochsner MG, Jaffin JH, Champion HR (1993) Prospective evaluation of surgeon’s use of ultrasound in the evaluation of trauma patients. J Trauma: 34: 516–526

    PubMed  CAS  Google Scholar 

  • Saber WL, Moorer EE, Hopeman AR et al. (1986) Delayed presentation of traumatic diaphragmatic hernia. J Emerg Med 4: 1

    PubMed  CAS  Google Scholar 

  • Safi F, Weiner S, Poch B, Schwarz A, Beger H-G (1999) Chirurgische Versorgung von Leberrupturen. Chirurg 70: 253–258

    PubMed  CAS  Google Scholar 

  • Saggi BH, Sugerman HJ, Ivatury RR, Bloomfield GL (1998) Abdominal compartement syndrome. J Trauma 45: 597–609

    PubMed  CAS  Google Scholar 

  • Sandblom P (1948) Hemorrhage into the biliary tract following trauma — traumatic hemobilia. Surgery 24: 571–586

    PubMed  CAS  Google Scholar 

  • Sarna S, Kivioja A (1995) Blunt rupture of the diaphragm. A retrospective analysis of 41 patients. Ann Chir Gynaecol 84: 261–265

    PubMed  CAS  Google Scholar 

  • Sasaki LS, Allaben RD, Golwala R, Mittal VK (1995) Primary repair of colon injuries: A prospective randomized study. J Trauma 39: 895–901

    PubMed  CAS  Google Scholar 

  • Sclafani SJA, Shaftan GW, Scalea TM et al. (1995) Nonoperative salvage of computed tomography-diagnosed splenic injuries: Utilization of angiography for triage and embolization for hemostasis. J Trauma 39: 818–827

    PubMed  CAS  Google Scholar 

  • Shahrudin MD, Noori SM (1997) Biloma and biliary fistula associated with hepatorrhaphy for liver injury. Hepatogastroenterology 44: 519–521

    PubMed  CAS  Google Scholar 

  • Sherck JP, Oakes DD. (1990) Intestinal injuries missed by computed tomography. J Trauma 30: 1–5

    PubMed  CAS  Google Scholar 

  • Sheridan R, Driscoll D, Felsen R (1997) Packing and temporary closure in a liver injury. Injury 28: 711–712

    PubMed  CAS  Google Scholar 

  • Smego DR, Richardson JD, Flint LM (1985. Determinants of outcome in pancreatic trauma. J Trauma 25: 771–776

    PubMed  CAS  Google Scholar 

  • Smith JS Jr, Cooney RN, Mucha P Jr (1996) Nonoperative management of the ruptured spleen: A revalidation of criteria. Surgery 120: 745–750

    PubMed  Google Scholar 

  • Steinau G, Bosman D, Dreuw B, Schumpelick V (1997) Zwerchfellverletzungen — Klassifikation, Diagnostik und Therapie. Chirurg 68: 509–512

    PubMed  CAS  Google Scholar 

  • Stone HH, Fabian TC (1979) Management of perforating colon trauma: Randomization between primary closure and exteriorization. Ann Surg 190: 430–436

    PubMed  CAS  Google Scholar 

  • Strong RW, Lynch SV, Wall DR, Liu CL (1998) Anatomic resection for severe liver trauma. Surgery 123: 251–257

    PubMed  CAS  Google Scholar 

  • Sturm J, Saeger HD, Hagmüller E, Trede M (1994) Mesh-Wrapping der Leber. Chirurg 65: 382–387

    PubMed  CAS  Google Scholar 

  • Styrt B (1990) Infection associated with asplenia: Risks, mechanisms, and prevention. Am J Med 88: 33 N–42 N

    CAS  Google Scholar 

  • Traub AC, Perry JR (1981) Injuries associated with splenic trauma. J Trauma 21: 840

    PubMed  CAS  Google Scholar 

  • Ugazzi M, Chiriboga A (1996) Laparoscopic treatment of incarcerated posttraumatic diaphragmatic hernia. J Laparoendosc Surg 6 (Suppl 1): S 83–S 88

    Google Scholar 

  • Uranus S, Mischinger HJ, Pfeifer J et al. (1996) Hemostatic methods for the management of spleen and liver injuries. World J Surg 20: 1107–1111

    PubMed  CAS  Google Scholar 

  • Villavicencio RT, Aucar JA, Wall MJ Jr (1999) Analysis of thoracoscopy in trauma. Surg Endosc 13: 3–9

    PubMed  CAS  Google Scholar 

  • Waldschmidt ML, Laws HL (1980) Injuries of the diaphragm. J Trauma 20: 587–592

    PubMed  CAS  Google Scholar 

  • Weigelt JA (1990) Duodenal injuries. Surg Clin North Am 70: 529–539

    PubMed  CAS  Google Scholar 

  • Wiener SL, Barrett J (1986) Explosions and explosive device-related injuries. In: Trauma management for civilian and military physicians. WB Saunders, Philadelphia, pp 13–26

    Google Scholar 

  • Winkelmeyer M, Littmann K, Thraenhart O, Tichy G, Kuwert EK, Eigler FW (1981) Veränderungen des humoralen und zellulären Immunsystems nach Splenektomie. Klin Wochenschr 59: 485

    PubMed  CAS  Google Scholar 

  • Wirbel RJ, Mutschler W (1997) Rechtsseitige Zwerchfellruptur mit intrathorakaler Verlagerung des gesamten rechten Leberlappens. Unfallchirurg 100: 249–252

    PubMed  CAS  Google Scholar 

  • Wisner DH, Chun Y, Blaisdell FW (1990) Blunt intestinal injury. Keys to diagnosis and management. Arch Surg 125: 1319–1322

    PubMed  CAS  Google Scholar 

  • Yamataka A, Fujiwara T, Tsuchioka T et al. (1996) Heterotopic splenic autotransplantation in a neonate with splenic rupture, leading to normal splenic function. J Pediatr Surg 31: 239–340

    PubMed  CAS  Google Scholar 

  • Young PR Jr, Meredith JW, Baker CC et al. (1998) Pancreatic injuries resulting from penetrating trauma: A multi-institution review. Am Surg 64: 838–843

    PubMed  Google Scholar 

Download references

Authors
  1. R. Pichlmayr
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Platz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. O. Trentz
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinik für Unfallchirurgie, Universitätsspital Zürich, Rämistr. 100, 8091, Zürich, Schweiz

    Otmar Trentz

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Pichlmayr, R., Platz, A., Trentz, O. (2000). Abdominalverletzungen. In: Trentz, O. (eds) Tscherne Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56941-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-56941-8_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63282-5

  • Online ISBN: 978-3-642-56941-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation