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Extra resources for [Chapter] Motor Speech Disorders: Clues to Neurologic Diagnosis
Example text
J Trauma 17: 903-907 208 Source: Fitzgerald JB, Quast DC, Beahl AC, DeBakey ME (1965) Surgical experi· ence with 103 truncal shotgun wounds. J Trauma 5: 72 in the latter. Lowe et al. reviewed the problem of selectivity in the management of gunshot-wound patients [22]. Aside from a lower mortality, stab wounds had a one-third incidence of significant abdominal injury in their series. 8%. 25). 25. 9%) 385 Source: Lowe RJ, Salletta JD, Read DR, Radhakrishnan J, Moss GS (1977) Sould laparotomy be mandatory or selective in gunshot wounds of the abdomen.
35. Reynolds BM, Balsam NA, Reynolds FX (1971) Falls from heights: A surgical experience of 200 consecutive cases. Ann Surg 174: 304 36. Richter RM, Zachy MH (1967) Selective conservative management of penetrating abdominal wounds. Ann Surg 166: 238-244 37. Ryzoff RI, Shaftan GW, Herbsman H (1966) Selective conservatism in penetrating abdominal trauma. Surgery 59: 650-653 38. Shaftan GW (1960) Indications for operation in abdominal trauma. Am J Surg 99: 657-664 39. Shaftan GW (1969) Editorial: Selective conservatism in penetrating abdominal trauma.
To perform this examination, a catheter is snugly fitted into the penetrating abdominal wound and secured to the wound edges by surgical suture material; 50-60 cc of urographic water-soluble contrast material is then injected under pressure through the catheter and into the wound. Penetrating injury to the abdominal cavity can be demonstrated by the intraperitoneal spread of contrast to outline loops of bowel and other abdominal viscera. In experienced hands the examination has an accuracy rate of 90%.