Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.066
Aoife Rice, Susan Adams, Soundappan Sv Soundappan, Warwick J Teague, Douglas Greer, Zsolt J Balogh
The management of blunt splenic trauma varies between children and adults, with disparate rates of splenectomy and angioembolization. This practice variation can be explained by some of the most recently published guidelines by the American Pediatric Surgical Association (APSA) and the Western Trauma Association (WTA). This narrative review compares these guidelines, and the evidence behind them. A comparison of the guidelines published in 2023 by WTA and APSA was undertaken, supplemented by recommendations in the 2016 WTA & 2015 ATOMAC guidelines. The publications that underpinned the guidelines were also examined. The recommendations from each guideline were summarized and similarities & differences noted, focusing on initial evaluation and resuscitation, the role of imaging, management strategies, hospitalization and follow up. While both guidelines highlight standardized initial resuscitation, subsequent management of both stable and unstable patients is different: guided by CT findings and hemodynamic status in adults and hemodynamic status alone in children. In stable adults, the grade of injury dictates the use of angioembolization, a therapeutic intervention rarely used in children. Differences with regards to ICU admission, follow up investigations and the use of thromoprophylaxis, also underscore the different management strategies in each cohort. It is hoped that this comparison lays the foundation for further exploration of how a unified guideline may be developed, acknowledging the need for nuanced care and resource optimization.
{"title":"A comparison of adult and pediatric guidelines for the management of blunt splenic trauma.","authors":"Aoife Rice, Susan Adams, Soundappan Sv Soundappan, Warwick J Teague, Douglas Greer, Zsolt J Balogh","doi":"10.1016/j.asjsur.2024.10.066","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.066","url":null,"abstract":"<p><p>The management of blunt splenic trauma varies between children and adults, with disparate rates of splenectomy and angioembolization. This practice variation can be explained by some of the most recently published guidelines by the American Pediatric Surgical Association (APSA) and the Western Trauma Association (WTA). This narrative review compares these guidelines, and the evidence behind them. A comparison of the guidelines published in 2023 by WTA and APSA was undertaken, supplemented by recommendations in the 2016 WTA & 2015 ATOMAC guidelines. The publications that underpinned the guidelines were also examined. The recommendations from each guideline were summarized and similarities & differences noted, focusing on initial evaluation and resuscitation, the role of imaging, management strategies, hospitalization and follow up. While both guidelines highlight standardized initial resuscitation, subsequent management of both stable and unstable patients is different: guided by CT findings and hemodynamic status in adults and hemodynamic status alone in children. In stable adults, the grade of injury dictates the use of angioembolization, a therapeutic intervention rarely used in children. Differences with regards to ICU admission, follow up investigations and the use of thromoprophylaxis, also underscore the different management strategies in each cohort. It is hoped that this comparison lays the foundation for further exploration of how a unified guideline may be developed, acknowledging the need for nuanced care and resource optimization.</p>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.164
Qite Wu, Zhenpeng Xu, Erwei Cai
{"title":"Causal relationship between major depressive disorder and constipation based on the theory of \"Liver and Large Intestine Interconnection\".","authors":"Qite Wu, Zhenpeng Xu, Erwei Cai","doi":"10.1016/j.asjsur.2024.10.164","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.164","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.114
Lu Liu, Huaneng Wen, Bingshui Wang, Mingzhu Xu
{"title":"A bibliometric analysis of LASER interventional therapy for spinal cord injury: Current situation, hot spots, and global trends.","authors":"Lu Liu, Huaneng Wen, Bingshui Wang, Mingzhu Xu","doi":"10.1016/j.asjsur.2024.10.114","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.114","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.150
Kaiping Zhang, Xiang Fang, Yin Zhang, Min Chao
{"title":"Ceftriaxone: A risk factor for kidney calculi in children.","authors":"Kaiping Zhang, Xiang Fang, Yin Zhang, Min Chao","doi":"10.1016/j.asjsur.2024.10.150","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.150","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.090
Jian-Zhong Song, Na Zhang, Bin Han, Bo-Hong Shi
{"title":"Clinical treatment of necrotizing fasciitis - A case report.","authors":"Jian-Zhong Song, Na Zhang, Bin Han, Bo-Hong Shi","doi":"10.1016/j.asjsur.2024.10.090","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.090","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fat-poor angiomyolipoma in the anterior mediastinum: A case report.","authors":"Xuanbo Hu, Hongliang Wang, Xiaoqi Guo, Liang Zhang","doi":"10.1016/j.asjsur.2024.10.149","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.149","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.112
Qinghui Wu, Bhushan Sandeep, Zongwei Xiao, Ke Gao
{"title":"Left upper lobe pulmonary sequestration and surgical intervention in an adult patient: A case report.","authors":"Qinghui Wu, Bhushan Sandeep, Zongwei Xiao, Ke Gao","doi":"10.1016/j.asjsur.2024.10.112","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.112","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-11DOI: 10.1016/j.asjsur.2024.10.168
Xin Huang, Bhushan Sandeep, Qiang Fu
{"title":"Current status and prospects of ciprofol in clinical anesthesia: A bibliometric analysis.","authors":"Xin Huang, Bhushan Sandeep, Qiang Fu","doi":"10.1016/j.asjsur.2024.10.168","DOIUrl":"https://doi.org/10.1016/j.asjsur.2024.10.168","url":null,"abstract":"","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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