MyMedR

Fulltext A case of impalement injury of finger

Ohn MH, Ohn KM

BMJ Case Rep, 2020 Dec 12;13(12).

PMID: 33310836 DOI: 10.1136/bcr-2020-239234

Matched MeSH terms: Wounds, Penetrating/surgery*

Fulltext A case of traumatic cholecystectomy

Shahrudin MD

Med J Malaysia, 1996 Mar;51(1):159.

PMID: 10968002

Matched MeSH terms: Wounds, Penetrating/etiology*

Fulltext A complete transection of larynx

Noorizan Y, Chew YK, Khir A, Brito-Mutunayagam S

Med J Malaysia, 2009 Jun;64(2):179-80.

PMID: 20058586 MyJurnal

Acute laryngeal injury is a rare, potentially lethal injury. It often poses difficulty in airway management. Commonly described are external laryngeal or blunt injuries. We report a case of penetrating neck injury resulting in complete transection of cricoid cartilage. A lady presented with a large, deep slash wound in her neck from a knife injury. There was complete laryngotracheal separation. The airway was secured before she was taken to the operating theatre. A tracheostomy was performed. Exploration revealed the cricoid ring was cut horizontally into two. Anastomosis of the cartilaginous framework was undertaken. Fibreoptic laryngoscopy showed bilateral vocal cords paralysis. After two months the patient recovered without airway compromise, she regains her voice. Repeat laryngoscopy showed good mobility of the vocal cords. In conclusion surgical reconstruction should be meticulously done to ensure good respiratory and phonatory abilities.

Matched MeSH terms: Wounds, Penetrating/surgery*

A rare penetrating injury through the axilla caused by stilt pole in a Bajau Laut boy

Atan AA, Chong JS, Oon ZS, Abu Bakar I

Med J Malaysia, 2020 09;75(5):597-599.

PMID: 32918436

An 8-year-old child of Bajau Laut descent (a stateless tribe in Eastern Borneo and the Sulu archipelago) presented following a fall, with penetrating injury through the axilla caused by a stilt pole, exiting at the supero-anterior aspect of the left shoulder. Due to the lack of comprehension of modern medical treatment and poor language skills, the parents refused to consent for detailed radioimaging studies, nor surgical removal and exploration in the operating theatre. The removal of retained stilt pole was done in casualty area in Hospital Tawau, followed by local exploration under sedation and local analgesia. Despite the horrific injury, there was no limb-threatening neurovascular injury sustained. Management of such injury in the nomadic Bajau Laut population provides valuable insight and about the challenges and decisions of management.

Matched MeSH terms: Wounds, Penetrating/surgery*

An unusual cause of a penetrating injury to the anterior urethra: a thorny situation

Tan GH, Ho CC, Bahadzor B, Praveen S, Goh EH, Afdzillah AR, et al.

Clin Ter, 2013;164(1):35-7.

PMID: 23455741 DOI: 10.7417/T.2013.1509

Concurrent penetrating injury to the male external genitalia and the anterior urethra is uncommon. This case illustrates an unusual cause of such an injury, and its subsequent management and outcome. A 69-year-old man had his scrotum and anterior urethra pierced by a long thorn when he fell in his farm. He presented with urine leakage from the scrotal wound each time he micturated. Cystoscopic examination confirmed the cause and extent of the injury, and also facilitated the extraction of the thorn. The injury was allowed time to heal by urinary diversion with a urinary catheter. There were no stricture or fistula formations and the patient remained symptom-free at 3 months follow-up. Careful cystoscopic examination was both diagnostic and therapeutic in this case. A conservative approach is a feasible option in the management of selected cases of penetrating anterior urethral injury.

Matched MeSH terms: Wounds, Penetrating/diagnosis; Wounds, Penetrating/surgery*

An unusual intra-vesicle foreign body following fall off a tropical fruit tree

S,Praveen, TW, Khor, L, James, GC, Teh, S, Febra

Journal of Surgical Academia, 2012;2(1):23-25.

MyJurnal

Penetrating injuries to bladder occur in 20 % of cases. Synchronous bladder and rectal perforation occur in 30-64 % of cases. The management of rectal and bladder injuries depend on whether it is an extra-peritoneal or intra-peritoneal injury. We hereby, report a case of penetrating trauma in a 13 year old boy who fell off a tropical fruit (Rambutan - Nephelium lappaceum) tree. He sustained an extra-peritoneal rectal injury with intra-peritoneal bladder injury. The rectal injury was repaired primarily via per anal route while the bladder injury needed an open repair following laparotomy. Upon removal of bladder clots, a leaf of the ‘Rambutan’ tree was found intra-vesically. It was removed and bladder repaired as per standard method. We review the literature on rare intra-vesicle foreign bodies and discuss the treatment of synchronous rectal and bladder injuries.

Matched MeSH terms: Wounds, Penetrating

Biloma and biliary fistula associated with hepatorrhaphy for liver injury

Shahrudin MD, Noori SM

Hepatogastroenterology, 1997 Mar-Apr;44(14):519-21.

PMID: 9164529

To review our experience in managing post-hepatorrhaphy complications in liver trauma.

Matched MeSH terms: Wounds, Penetrating/surgery

Bird-related eye injuries

Shriwas SR

Trop Doct, 1993 Jul;23(3):140.

PMID: 8356755

Matched MeSH terms: Wounds, Penetrating/etiology*

Case series of haemothorax secondary to avulsed bullae vessel

Low QJ, Hatta Z, Cheo SW, Syed RSH, Goh KS

Med J Malaysia, 2019 Oct;74(5):431-432.

PMID: 31649221

Haemothorax refer to the bleeding in the pleural space. It is commonly due to iatrogenic, blunt or penetrating chest trauma. Non-traumatic haemothorax is a rare entity that can potentially lead to life threatening complications. The initial management of both traumatic and non-traumatic haemothorax includes resuscitation and stabilisation of the patient. We would like to present two cases of non-traumatic haemothorax secondary to an avulsed bullae vessel.

Matched MeSH terms: Wounds, Penetrating

Comparative effects of palm vitamin E and alpha-tocopherol on healing and wound tissue antioxidant enzyme levels in diabetic rats

Musalmah M, Nizrana MY, Fairuz AH, NoorAini AH, Azian AL, Gapor MT, et al.

Lipids, 2005 Jun;40(6):575-80.

PMID: 16149736

The effect of supplementing 200 mg/kg body weight palm vitamin E (PVE) and 200 mg/kg body weight alpha-tocopherol (alpha-Toc) on the healing of wounds in streptozotocin-induced diabetic rats was evaluated. The antioxidant potencies of these two preparations of vitamin E were also evaluated by determining the antioxidant enzyme activities, namely, glutathione peroxidase (GPx) and superoxide dismutase (SOD), and malondialdehyde (MDA) levels in the healing of dermal wounds. Healing was evaluated by measuring wound contractions and protein contents in the healing wounds. Cellular redistribution and collagen deposition were assessed morphologically using cross-sections of paraffin-embedded day-10 wounds stained according to the Van Gieson method. GPx and SOD activities as well as MDA levels were determined in homogenates of day-10 dermal wounds. Results showed that PVE had a greater potency to enhance wound repair and induce the increase in free radical-scavenging enzyme activities than alpha-Toc. Both PVE and alpha-Toc, however, were potent antioxidants and significantly reduced the lipid peroxidation levels in the wounds as measured by the reduction in MDA levels.

Matched MeSH terms: Wounds, Penetrating/drug therapy; Wounds, Penetrating/pathology*

Computed tomography of the thorax with 3D reconstruction in penetrating chest injury

Michael A, Yahya ZO, Mdrazali I, Hanif H

Med J Malaysia, 2017 02;72(1):75-76.

PMID: 28255150 MyJurnal

Penetrating chest wounds is less common but more deadly then blunt trauma. Majority of penetrating chest trauma can be managed conservatively with observation and simple thoracotomy. This case report highlights a bizarre occupational hazard causing a penetrating chest injury and the option of non-invasive management with the aid of computed tomography with 3D reconstruction.

Matched MeSH terms: Wounds, Penetrating

Fulltext Damage control resuscitation: A case of thoraco-abdominal impalement

Nur AK, Mohd Mokhtar MA, Izzat I, Abdul Halim S, Nor Elayni B

Med J Malaysia, 2016 04;71(2):77-8.

PMID: 27326948 MyJurnal

Damage Control Resuscitation and Surgery is the concept of controlled hypotension, haemostatic resuscitation and abbreviated surgical procedures following severe trauma; the practice of which has resulted in improved mortality and morbidity. We describe a rare case of thoraco-abdominal impalement successfully managed based on the concept of Damage Control Resuscitation.

Matched MeSH terms: Wounds, Penetrating

Fulltext Emergency thoracotomy and major lung resection for penetrating chest trauma: Lessons learnt from a review of three cases

Sachithanandan A, Fahmi PA, Faisal I, Badmanaban B, Abdul Muis J, Mohd Arif MN

Med J Malaysia, 2013 Jun;68(3):227-30.

PMID: 23749011 MyJurnal

Emergency lung resection for chest trauma is a rare event with a reported incidence of 0.08-1.3% but is associated with a high morbidity and mortality especially if a pneumonectomy is required, if due to blunt chest trauma or when concomitant injuries are present. We report three cases of young adult males with penetrating chest injuries that required emergency thoracotomy (ET) and anatomical lung resection to achieve definitive control of life threatening pulmonary haemorrhage. All patients survived to hospital discharge and remained well on follow-up. Indications for an ET and what constitutes the optimal operative management of such patients is discussed.

Matched MeSH terms: Wounds, Penetrating

Epidermal Regeneration of Cultured Autograft, Allograft, and Xenograft Keratinocytes Transplanted on Full-Thickness Wounds in Rabbits

Hanifi N, Halim AS, Aleas CF, Singh J, Marzuki M, Win TT, et al.

Exp Clin Transplant, 2015 Jun;13(3):273-8.

PMID: 26086837

Skin grafting has been evolving as an important application in reconstructive surgery. Mixed reports about the survival of allogeneic and xenogeneic keratinocytes require further substantiation to determine the role of these cells in wound healing.

Matched MeSH terms: Wounds, Penetrating/pathology; Wounds, Penetrating/physiopathology; Wounds, Penetrating/surgery*

Influence of gold nanoparticles on wound healing treatment in rat model: Photobiomodulation therapy

Lau P, Bidin N, Islam S, Shukri WNBWM, Zakaria N, Musa N, et al.

Lasers Surg Med, 2017 04;49(4):380-386.

PMID: 27859389 DOI: 10.1002/lsm.22614

BACKGROUND AND OBJECTIVE: The aim of this study is to investigate the effect of gold nanoparticles (AuNPs) in photobiomodulation therapy (PBMT) on wound healing process.

MATERIALS AND METHODS: AuNPs are synthesized by Q-switched Nd:YAG laser ablation technique. Cutaneous wound are induced on 45 Sprague Dawley rats on its dorsal part and then randomly divided into three groups. One group serves as non-treatment group (GC) and another two groups are subjected to AuNPs with and without PBMT. About 808 nm diode laser with output power of 100 mW is used as a light source for PBMT. The treatment was carried out daily with exposure duration of 50 seconds and total fluence of 5 J/cm2 . Wound area is monitored for 9 consecutive days using a digital camera, and histological examination is performed at 3rd, 6th, and 9th day through hematoxylin and eosin stain as well as Masson's trichrome stain.

RESULTS: The group of rats subjected to AuNPs with PBMT shows significantly accelerated wound closure compared to other groups. Histological results indicate that AuNPs and PBMT group is more effective in stimulating angiogenesis and triggers inflammatory response at early stage.

CONCLUSION: The application of AuNPs in PBMT has potential to accelerate wound healing due to enhanced epithelialization, collagen deposition and fast vascularization. Lasers Surg. Med. 49:380-386, 2017. © 2016 Wiley Periodicals, Inc.

Matched MeSH terms: Wounds, Penetrating/pathology; Wounds, Penetrating/therapy*

Fulltext Migration of a foreign body in the maxillary sinus illustrating natural mucociliary action

Pang KP, Siow JK, Tan HM

Med J Malaysia, 2005 Oct;60(4):523-5.

PMID: 16570724

We present a case of a foreign body which migrated to the maxillary ostia by mucociliary action from its initial location on the floor of the maxillary sinus where it was traumatically introduced. This report illustrates that a powerful mechanism of mucociliary action can cause relatively heavy objects within the maxillary sinus to migrate naturally to the sinus ostia against gravitational force.

Matched MeSH terms: Wounds, Penetrating/complications

Nail in the ethmoidal sinus: an unusual entry

Elango S, Htun YN

J Otolaryngol, 1993 Jun;22(3):206.

PMID: 8371334

Matched MeSH terms: Wounds, Penetrating/surgery*

Fulltext Palm oil thorn-induced squamous cell carcinoma with underlying burns scar

Qi Qi C, Ajit Singh V

BMJ Case Rep, 2012;2012.

PMID: 22865804 DOI: 10.1136/bcr-2012-006401

Marjolin's ulcers are malignancies that arise from previously traumatised, chronically inflamed or scarred skin. We present a case with childhood burns, who had repeated irritation of his forearm skin with palm oil thorns that eventually led to malignant change.

Matched MeSH terms: Wounds, Penetrating

Fulltext Penetrating cardiac injury without tamponade

Aung T

Med J Malaysia, 1997 Dec;52(4):441-3.

PMID: 10968125

A case of unsuspected penetrating cardiac injury is presented. It was recognised by the presence of bleeding into peritoneal cavity even after the source of bleeding from intra-abdominal organs had been stopped. It highlights the importance of high index of suspicion of associated cardiac injury in high epigastric penetrating injury.

Matched MeSH terms: Wounds, Penetrating/diagnosis*

Fulltext Penetrating laryngotracheal trauma resulting in vocal cord avulsion

Lim IR, Aw CY

Med J Malaysia, 2003 Oct;58(4):613-6.

PMID: 15190641

Penetrating neck trauma present difficult management issues by virtue of their rarity. Undiagnosed laryngotracheal injuries have serious implications, especially in the context of multiple trauma, where other injuries overshadow that of the laryngotracheal complex. This is a case of a schizophrenic patient with multiple self-inflicted cuts on his throat and abdomen. Injuries include open, comminuted laryngeal complex lacerations with vocal cord avulsion, as well as evisceration of small bowel. Adequate assessment using both direct laryngoscopy and rigid endoscopy, coupled with open exploration, allowed optimal exposure and fixation of the larynx in the anatomical configuration. The post-operative outcome of the airway and voice remained satisfactory at follow-up. A high index of suspicion coupled with adequate surgical approach allowed establishment of a functional larynx.

Matched MeSH terms: Wounds, Penetrating/surgery*

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