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Blunt Dissection

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1. A blunt dissection technique using the LigaSure vessel-sealing device improves perioperative outcomes and postoperative splenic-vessel patency after laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy. (PubMed)

A blunt dissection technique using the LigaSure vessel-sealing device improves perioperative outcomes and postoperative splenic-vessel patency after laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy. We have recently performed a blunt dissection technique using LigaSure technology for laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy to reduce the risk of bleeding during the dissection of the splenic vessels. The aim of this study was to compare (...) the utility of the blunt dissection technique and a conventional dissection technique during laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy.Fifty-five patients who underwent laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy performed by a single surgeon between March 2003 and December 2015 were enrolled in this retrospective single-center study. The patients were divided into the LigaSure group (n = 23) and non-LigaSure group (n = 26). Perioperative

2018 Surgical endoscopy

2. Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma (PubMed)

Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no pericardial hemorrhage, haemothorax or pneumothorax. No intra-abdominal lesions were found (...) . A 12-lead electrocardiogram on arrival showed an acute myocardial infarction. Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents. The patient passed away the day after. In retrospective, the right coronary dissection was visible on the trauma CT-scan.

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2018 Journal of the Belgian Society of Radiology

3. Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia

Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Use of Diathermy (...) Versus Blunt Dissection in TEP for Inguinal Hernia The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03665883 Recruitment Status : Recruiting First Posted : September 11, 2018 Last Update Posted : September 12, 2018 See

2018 Clinical Trials

4. Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck (PubMed)

Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck Blunt cerebrovascular injury (BCVI) is a term encompassing traumatic carotid and vertebral artery dissection or disruption. While the reported incidence appears to be increasing as diagnostic modalities improve, these injuries are often diagnosed only after patients have developed acute neurologic symptoms. These injuries often result in severe permanent neurologic disability or death. The gold (...) standard for diagnosis has historically been a 4-vessel arteriogram. However, newer data are suggesting that computed tomographic angiography may be more appropriate for most patients and new criteria for its utilization have been developed. We report a case of bilateral carotid dissection in a 23-year-old woman involved in a motor vehicle collision (MVC). She initially presents with a normal neurologic exam and two hours later develops hemiparesis. She is treated with antiplatelet therapy and given

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2018 Case Reports in Emergency Medicine

5. Bilateral Carotid and Vertebral Artery Dissection from Blunt Trauma (PubMed)

Bilateral Carotid and Vertebral Artery Dissection from Blunt Trauma Carotid and vertebral artery injuries are rare following blunt trauma. They can, however, lead to severe consequences with a significant associated rate of stroke and intracranial hemorrhage, particularly if the diagnosis and treatment are delayed. We report a case of a 23-year-old female who presented to the Emergency Department with bilateral carotid and vertebral artery dissection following a motor vehicle collision (MVC).

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2018 Case Reports in Emergency Medicine

6. A 21-Year-Old Man With Coronary Artery Dissection After Blunt Trauma to the Chest (PubMed)

A 21-Year-Old Man With Coronary Artery Dissection After Blunt Trauma to the Chest 29642993 2019 02 12 1866-0452 115 12 2018 03 23 Deutsches Arzteblatt international Dtsch Arztebl Int A 21-Year-Old Man With Coronary Artery Dissection After Blunt Trauma to the Chest. 209 10.3238/arztebl.2018.0209 arztebl.2018.0209 Bösche Leif Ilja LI Schildhauer Thomas Armin TA Hamsen Uwe U eng Journal Article Germany Dtsch Arztebl Int 101475967 1866-0452 2018 4 13 6 0 2018 4 13 6 0 2018 4 13 6 0 ppublish

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2018 Deutsches Ärzteblatt international

7. Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma. (PubMed)

Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma. A 21year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1-1.5mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery (...) dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.Copyright © 2017 Elsevier Inc. All rights reserved.

2017 American Journal of Emergency Medicine

8. What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma?

What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 74, Issue 3, Pages 400–402 What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients (...) With Suspected Blunt Thoracoabdominal Trauma? x Brit Long , MD (EBEM Commentator) , x Michael D. April , MD, DPhil (EBEM Commentator) Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX DOI: | Publication History Published online: February 14, 2019 Expand all Collapse all Article Outline Take-Home Message In patients with blunt trauma, a positive point-of-care ultrasonography result can identify thoracoabdominal injury with high specificity

2019 Annals of Emergency Medicine Systematic Review Snapshots

9. Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management (PubMed)

Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management Thirty-nine year male had a history of road traffic accident with polytrauma. At emergency room he started having chest pain with ventricular tachycardia. He was subsequentially diagnosed with right coronary artery dissection secondary to blunt trauma which is an extremely rare cause of inferior wall myocardial infarction. After some dilemmas, he was ultimately

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2016 Indian heart journal

10. Distant blunt forceps dissection in tissue expander insertion: A novel technique (PubMed)

Distant blunt forceps dissection in tissue expander insertion: A novel technique Tissue expansion using implantable expanders is a useful means of generating surplus tissue for reconstruction of defects such as scarring following burns. The authors describe their technique of incisions distant to the desired location of expander placement, and remote dissection of the expander pocket with hydrodissection and blunt forceps. A total of 81 expanders were placed in 30 consecutive patients, 81

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2016 Plastic Surgery

11. Coronary Thrombosis without Dissection following Blunt Trauma (PubMed)

Coronary Thrombosis without Dissection following Blunt Trauma Blunt trauma to the chest resulting in coronary thrombosis and ST elevation myocardial infarction (STEMI) is a rare but well-described occurrence in adults. Angiography in such cases has generally disclosed complete epicardial coronary occlusion with thrombus, indistinguishable from the findings commonly found in spontaneous plaque rupture due to atherosclerotic disease. In all previously reported cases in which coronary (...) interrogation with intravascular ultrasound (IVUS) was performed in association with acute revascularization, coronary artery dissection was implicated as the etiology of coronary thrombosis. We present the first case report of blunt trauma-associated coronary thrombosis without underlying atherosclerosis or coronary dissection, as documented by IVUS imaging.

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2016 Case reports in cardiology

12. Blunt Dissection

Blunt Dissection Blunt Dissection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Blunt Dissection Blunt Dissection Aka: Blunt (...) Dissection II. Indication III. Advantages over other surgical techniques (e.g. ED&C) Does not disturb normal tissue IV. Efficacy Cure rate in s approaches 90% V. Equipment Blunt Dissector or Schamberg acne expressor VI. Technique Administer anesthesia Outline edge of lesion Insert blunt tipped scissors between wart and skin Move tip circumferentially around wart Creates plane of dissection (separate wart from skin) Insert blunt dissector into cleavage plane Use short strokes to separate wart from skin

2018 FP Notebook

13. Experience of endovascular repair of thoracic aortic dissection after blunt trauma injury in a district general hospital (PubMed)

Experience of endovascular repair of thoracic aortic dissection after blunt trauma injury in a district general hospital Traumatic thoracic aortic dissection is uncommon in clinical practice; however, it is associated with high morbidity and mortality. Thoracic aortic dissection is usually caused by sudden deceleration resulting from a traffic accident or fall. Aortic injury after blunt trauma is a critical condition. This study reported the outcomes of endovascular repair of acute traumatic (...) aortic dissection in patients at a district general hospital.In this study, we retrospectively reviewed the clinical data of eight patients with acute traumatic aortic dissection after a blunt trauma who had undergone thoracic endovascular aortic repair (TEVAR) between January 2012 and December 2015 at a district general hospital in Taiwan.The median age of the patients was 49±22 years (range, 20-77 years), and 6 of the 8 (75%) patients were men. Five patients were involved in traffic accidents

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2016 Journal of thoracic disease

14. Acute Myocardial Infarction Following Blunt Chest Trauma and Coronary Artery Dissection (PubMed)

Acute Myocardial Infarction Following Blunt Chest Trauma and Coronary Artery Dissection Blunt chest traumatic coronary artery dissection is an uncommon cause of atherosclerotic and non-atherosclerotic Acute Myocardial Infarction (AMI). Injuries of the coronary artery after blunt chest trauma are caused by different mechanisms such as vascular spasm, dissection and intimal tear or rupture of an existing thrombus formation. Chest pain might be masked by other injuries in patients with multiple (...) artery should be kept in mind after blunt trauma to the chest. This condition is sometimes underdiagnosed. Its diagnosis may be difficult because chest pain can be interpreted as being secondary to chest wall contusion or it may be overshadowed by other injuries. Coronary dissection diagnosis after chest trauma requires clinical suspicion and systematic evaluation. Electrocardiography (ECG) should be done for every patient with thoracic trauma as the clinical findings may be misleading.

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2016 Journal of clinical and diagnostic research : JCDR

15. CRACKCast E085 – Aortic Dissection

for thrombosis Aortic dissection : involves a column of blood that has found its way into the media, advancing either retrograde, antegrade or both Aortic aneurysm : a ballooning of all 3 layers out Pseudoaneurysm : tear in the adventitia – leading to hemorrhage enclosed in fascia Blunt thoracic rupture : transection involving all 3 layers with blood leaving lumen of aorta into chest cavity / pericardium Remember the mortality is: 1% per HOUR after the onset of the dissection. 1) What are the risk factors (...) for aortic dissection? Physiologic HTN Anatomic Hx Cardiac Surgery Bicuspid aortic valve Vasculitis / Connective Tissue disorder Medium to large vessel vasculitis (Takayasu’s arteritis, giant cell arteritis, and Behçet’s disease) Marfan Syndrome Loeys-Dietz (connective tissue disorder phenotypically similar to Marfan’s) Other Stimulant use Cardiac cath / Intra-aortic balloon insertion Blunt Trauma NOTE: ** High-speed deceleration injury most often = aortic rupture, this is a very different beast! However

2017 CandiEM

16. Bipolar Quantum Molecular Resonance versus Blunt Dissection tonsillectomy. (PubMed)

Bipolar Quantum Molecular Resonance versus Blunt Dissection tonsillectomy. This study compared a quantum molecular resonance tonsillectomy (QMRT) to a standard blunt dissection tonsillectomy (BDT) for effectiveness and safety.From January 2011 to September 2012, we recruited 80 children (ages 3 to 16 y) with paediatric obstructive sleep apnoea syndrome and/or recurrent tonsillitis. Patients were randomly assigned to receive QMRT (N = 40) or BDT (N = 40). The operating time and blood loss during

2015 B-ENT

17. Partial mastectomy using manual blunt dissection (MBD) in early breast cancer. (PubMed)

Partial mastectomy using manual blunt dissection (MBD) in early breast cancer. Breast-preserving surgery (Bp) and sentinel lymph node biopsy (SNB) are established as standard treatment for axillary lymph node-negative early breast cancer.A surgical technique using manual blunt dissection (MBD), in which use of electrocautery, an ultrasonically activated scalpel, and ligation is minimized, is described. This involves an approach from small incisions in the axilla or areola to avoid injury

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2015 BMC Surgery

18. Blunt Dissection: A Solution to Prevent Bile Duct Injury in Laparoscopic Cholecystectomy (PubMed)

Blunt Dissection: A Solution to Prevent Bile Duct Injury in Laparoscopic Cholecystectomy Laparoscopic cholecystectomy (LC) has been a standard operation and replaced the open cholecystectomy (OC) rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury (BDI) in laparoscopic cholecystectomy (LC).From 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 (...) hepatic duct injury, 1 case of right hepatic duct injury, 1 case of accessory right hepatic duct, 1 case of aberrant BDI 1 case of biliary stricture, 1 case of biliary duct perforation, 3 cases of hemobilia, and 4 cases of bile leakage.Exposing Calot's triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BDI.

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2015 Chinese medical journal

19. Aortic dissection associated with blunt chest trauma diagnosed by elevated D-dimer (PubMed)

Aortic dissection associated with blunt chest trauma diagnosed by elevated D-dimer Similar to spontaneous aortic dissection, traumatic aortic dissection is diagnosed with a careful history and physical exam, chest radiograph, and ultimately, dedicated aortic imaging. The diagnosis of spontaneous aortic dissection may be aided by using the serum D-dimer test. The use of D-dimer for diagnosing aortic injury in the setting of blunt trauma has not previously been reported.We present a case (...) of aortic dissection in a 61-year-old male diagnosed when the patient presented with chest pain after blunt chest trauma.The patient had no known history or risk factors for aortic disease. None of the classic findings were present by history, physical examination or chest radiograph and the diagnosis was made as the result of an elevated D-dimer. We discuss how the D-dimer test fortuitously led to the diagnosis in this case, and the implications.D-dimer could be helpful in diagnosing aortic injuries

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2015 International journal of surgery case reports

20. Blunt Intraoral Trauma Resulting in Internal Carotid Artery Dissection and Infarction in a Child. (PubMed)

Blunt Intraoral Trauma Resulting in Internal Carotid Artery Dissection and Infarction in a Child. A 16-month-old child fell forward onto her toothbrush sustaining minor oropharyngeal injury. The following day, she became acutely lethargic with localizing neurologic signs of a cerebrovascular infarct. CTA and MR imaging demonstrated occlusion of the right internal carotid artery with a large right middle cerebral artery territory infarction. She was treated with decompressive craniectomy (...) and anticoagulation but remained weak on the left side. Pediatric oropharyngeal injuries can rarely be complicated by internal carotid artery injury with dissection, thrombosis, or embolization to the cerebral circulation. For the best outcome, carotid dissection treatment requires prompt diagnosis at the initial onset of neurologic symptoms. However, further research is needed to determine the best management and advanced imaging work-up for neurologically intact children.

2015 Pediatric Emergency Care

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