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 language | English |
|---|---|
| Pages (from-to) | 914-916 |
| Number of pages | 3 |
| Journal | Journal of Trauma |
| Volume | 25 |
| Issue number | 9 |
| State | Published - Dec 1 1985 |
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ASJC Scopus subject areas
- Surgery
Cite this
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 journal › Article
}
TY - JOUR
T1 - Impalement injuries
AU - Horowitz, M. D.
AU - Dove, D. B.
AU - Eismont, Frank J
AU - Green, Barth A
PY - 1985/12/1
Y1 - 1985/12/1
N2 - 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.
AB - 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.
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M3 - Article
C2 - 4032518
AN - SCOPUS:0022374658
VL - 25
SP - 914
EP - 916
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 9
ER -