Role of routine CT scan in pelvic fractures - an cost effective essential tool? (JOHN GRIFSON, 18 September 2009)
Pelvic fractures account for only 3-8% of all fractures in polytrauma patients.However the mortality remains high (15-20%)(1).Most of the patients who present with unstable fractures have positive finding on pelvic examination.These patients with unstable fractures will require surgical stabilization.Rest of those who present with stable fractures will rarely require surgery if there are any associated injuries.Therefore the role of routine pelvic radiography in trauma has been questioned(2).Therefore CT scan will remain a cost effective tool if reserved for patients in whom associated injuries are suspected on clinical basis.1)Pelvic fractures: epidemiology, therapy and long-term outcome. Overview of the multicenter study of the Pelvis Study Group:Unfallchirurg. 1996 Mar;99(3):160-...
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Comment on: Hilty et al. World Journal of Emergency Surgery, 3:11
Letter to the editor (Alvaro Montiel-Jarquín, 18 September 2009)
To the editor:
Letter to be considered for publication in the journal
The term chronic apendicitis remains uncertain, and is caused by multiple causes and divided more specifically into: chronic appendicitis, recurrent appendicitis and appendiceal colic pain, deppending this on its evolution and clinical presentation (1). Mycobacterium tuberculosis is a bacilum that can cause tuberculosis in the vermiform appendix. Its diagnosis is made by histopathology with a Ziehl Nielssen stain in order to demostrate the presence of the bacilus in the studied tissue (2). Regarding this article, we have the following points to be considered: In the title, the word tubercular referers to an infection caused by the Mycobacterium tuberculosis bacillum but in this...
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Comment on: Gupta et al. World Journal of Emergency Surgery, 1:22
Interesting Association (Alfie Kavalakat, 10 February 2009)
It is an interesting association which you have reported. Through a limited right iliac fossa incision when the appendix is found to be inflamed, the omental infarction is likely to be missed. You could identify both since you went through a right para-rectal incision. But I wonder why you went through a right para-rectal incision in the absence of generalized peritonitis. We agree with your comment that omental infarction is more common than usually thought of. More cases are being reported now. We feel that this is because of the increasing popularity of laparoscopy¹. 1. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: a case report. Cases J. 2008 Sep 19;1(1):164.
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Comment on: Battaglia et al. World Journal of Emergency Surgery, 3:30
Acute abdomen - still a mystifying condition? (JOHN GRIFSON, 19 December 2007)
Acute abdomen is known for its complex perplexing presentations.Prompt diagnosis and timely decision for surgical or conservative therapeutic measures is essential to reduce morbidity and mortality.Furthermore we should bear in mind that common surgical emergencies are known for their dubious presentations.A old man with sudden onset pain abdomen may lack signs of peritonism but still may have pneumoperitoneum in abdominal x-ray.The classical signs of appendicitis may be lacking in a patient with inflamed retrocecal appendix but still may warrant surgery.A recent work done by Covarelli et al insist the good old fact that supplementation of blood and imaging studies can help to avoid useless surgical procedure or potentially dangerous delay in administering treatment(1).Therefore I...
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Comment on: Abbas et al. World Journal of Emergency Surgery, 2:26
Very interesting (Anita balakrishnan, 14 April 2007)
An extremely interesting case report, great pictures.
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Comment on: Jeyaretna et al. World Journal of Emergency Surgery, 2:6
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Role of routine CT scan in pelvic fractures - an cost effective essential tool? (JOHN GRIFSON, 18 September 2009)
Pelvic fractures account for only 3-8% of all fractures in polytrauma patients.However the mortality remains high (15-20%)(1).Most of the patients who present with unstable fractures have positive finding on pelvic examination.These patients with unstable fractures will require surgical stabilization.Rest of those who present with stable fractures will rarely require surgery if there are any associated injuries.Therefore the role of routine pelvic radiography in trauma has been questioned(2).Therefore CT scan will remain a cost effective tool if reserved for patients in whom associated injuries are suspected on clinical basis.1)Pelvic fractures: epidemiology, therapy and long-term outcome. Overview of the multicenter study of the Pelvis Study Group:Unfallchirurg. 1996 Mar;99(3):160-... read full comment
Comment on: Hilty et al. World Journal of Emergency Surgery, 3:11
Letter to the editor (Alvaro Montiel-Jarquín, 18 September 2009)
To the editor:
Letter to be considered for publication in the journal
The term chronic apendicitis remains uncertain, and is caused by multiple causes and divided more specifically into: chronic appendicitis, recurrent appendicitis and appendiceal colic pain, deppending this on its evolution and clinical presentation (1).
Mycobacterium tuberculosis is a bacilum that can cause tuberculosis in the vermiform appendix. Its diagnosis is made by histopathology with a Ziehl Nielssen stain in order to demostrate the presence of the bacilus in the studied tissue (2).
Regarding this article, we have the following points to be considered:
In the title, the word tubercular referers to an infection caused by the Mycobacterium tuberculosis bacillum but in this... read full comment
Comment on: Gupta et al. World Journal of Emergency Surgery, 1:22
Interesting Association (Alfie Kavalakat, 10 February 2009)
It is an interesting association which you have reported. Through a limited right iliac fossa incision when the appendix is found to be inflamed, the omental infarction is likely to be missed. You could identify both since you went through a right para-rectal incision. But I wonder why you went through a right para-rectal incision in the absence of generalized peritonitis. We agree with your comment that omental infarction is more common than usually thought of. More cases are being reported now. We feel that this is because of the increasing popularity of laparoscopy¹. 1. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: a case report. Cases J. 2008 Sep 19;1(1):164. read full comment
Comment on: Battaglia et al. World Journal of Emergency Surgery, 3:30
Acute abdomen - still a mystifying condition? (JOHN GRIFSON, 19 December 2007)
Acute abdomen is known for its complex perplexing presentations.Prompt diagnosis and timely decision for surgical or conservative therapeutic measures is essential to reduce morbidity and mortality.Furthermore we should bear in mind that common surgical emergencies are known for their dubious presentations.A old man with sudden onset pain abdomen may lack signs of peritonism but still may have pneumoperitoneum in abdominal x-ray.The classical signs of appendicitis may be lacking in a patient with inflamed retrocecal appendix but still may warrant surgery.A recent work done by Covarelli et al insist the good old fact that supplementation of blood and imaging studies can help to avoid useless surgical procedure or potentially dangerous delay in administering treatment(1).Therefore I... read full comment
Comment on: Abbas et al. World Journal of Emergency Surgery, 2:26
Very interesting (Anita balakrishnan, 14 April 2007)
An extremely interesting case report, great pictures. read full comment
Comment on: Jeyaretna et al. World Journal of Emergency Surgery, 2:6