Organ injured Risk Factor Scoring injury 5 1 Single wall 25 wall x0000 25 wall Duodenum wall and blood supply 5 Pancreaticoduodenectomy Pancreas 1 Tangential Through and through duct ID: 843644
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1 Abdominal trauma:The penetrating abdomin
Abdominal trauma:The penetrating abdominaltrauma index(PATIA method of quantifying the risk of complication following penetrating abdominal trauma is describedThe penetrating trauma index is calculated by assigning a risk factor (15) to each organ injured and thenmultiplying this by a severity of injury estimate (1The sum ofthe individual organ scorescomprised Organ injured Risk Factor Scoring injury 5 1. Single wall 25% wall � 25% wall Duodenum wall and blood supply 5. Pancreaticoduodenectomy Pancreas 1. Tangential Through and through (duct intact)Major debridement or distal duct injuryProximal duct injury 5. pancreaticoduodenectomy Liver 4 1. Nonbleeding peripher al Bleeding central or minor debridement Major debridement and hepatic ar
2 tery lidation Lobectomy Lobectomy with
tery lidation Lobectomy Lobectomy with caval repair or extensive bilobar debridement Large in tasting 1. Serosal Single wall25% wall� 25% wall 5. Colon wall and blood supply Major vascular 4 1. 25% wall � 25% wall Complete transaction Interposition grafting or bypass 5. ligation spleen 1. nonbleeding cautery or hemostatic agentminor debridement or suturing partial resection 5. splenectomy kidney 3 1. nonbleeding 2. cautery or hemostatic agent 3. minor debridement or suturing 4. pedicle or major calyceal 5. nephrectomy Extra hepatic biliary 1. contusion 2. cholecystectomy3. 25% common duct wall4. � 25% common duct wall 5. Biliary enteric reconstruction Small bowel 2 1. Single wall Through an
3 d Through 25% wall or 23 injuries �
d Through 25% wall or 23 injuries � 25% wall or 45 injuries 5. Wall and blood supply or� 5 injuries stomach 1. Single wall Through and throughMinor debridementWedge resection 5. � 35% resection Ureter 2 1. Contusion Laceration Minor debridement Segmental resection 5. reconstruction bladder 1. single wall through and throughdebridement wedge resection 5. reconstruction bone 1 1. periosteum cortex through and through intra articulr 5. major bone loss Minor vascular 1. nonbleeding small hematoma nonbleding largehematomasuturing ligation of isolated vessels 5. ligartion of named vessels Reference:Moore EE, dunn EL, moore JB, Thompson JS. Penetrating abdominal trauma index. J trauma. 1981;21:43944