Impalement injuries

M. D. Horowitz, D. B. Dove, Frank J Eismont, Barth A Green

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Impalement injuries are unusual, complex surgical problems. We present a case of impalement through the spine and abdomen, describe a two-team approach to operative extraction utilizing simultaneous laminectomy and laparotomy incisions, and outline the management of an infectious complication caused by unusual bacterial and fungal pathogens. General principles of management include: the impaling object must be stabilized and manipulation avoided during extrication and transport. Operative removal requires careful preplanning, and should be tailored to the specific presenting injuries, with early multispecialty involvement as necessary. Extensive exposure is mandatory and may be achieved through a variety of standard or unconventional incisions so as to permit extraction of the impaled object under direct vision. Meticulous care of the traumatic wound is necessary, and careful followup is required for recognition and early management of infectious complications.

Original languageEnglish
Pages (from-to)914-916
Number of pages3
JournalJournal of Trauma
Volume25
Issue number9
StatePublished - Dec 1 1985

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Wounds and Injuries
Laminectomy
Abdomen
Laparotomy
Spine

ASJC Scopus subject areas

  • Surgery

Cite this

Horowitz, M. D., Dove, D. B., Eismont, F. J., & Green, B. A. (1985). Impalement injuries. Journal of Trauma, 25(9), 914-916.

Impalement injuries. / Horowitz, M. D.; Dove, D. B.; Eismont, Frank J; Green, Barth A.

In: Journal of Trauma, Vol. 25, No. 9, 01.12.1985, p. 914-916.

Research output: Contribution to journalArticle

Horowitz, MD, Dove, DB, Eismont, FJ & Green, BA 1985, 'Impalement injuries', Journal of Trauma, vol. 25, no. 9, pp. 914-916.
Horowitz MD, Dove DB, Eismont FJ, Green BA. Impalement injuries. Journal of Trauma. 1985 Dec 1;25(9):914-916.
Horowitz, M. D. ; Dove, D. B. ; Eismont, Frank J ; Green, Barth A. / Impalement injuries. In: Journal of Trauma. 1985 ; Vol. 25, No. 9. pp. 914-916.
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