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Medical question

  • 30-10-2009 10:42pm
    #1
    Livvie
    Registered Users, Registered Users 2 Posts: 714 ✭✭✭


    If someone is stabbed in the area of the waist/upper abdomen, what's the best scenario for the victim to need life-saving surgery that would be successful with no lasting damage?

    Ruptured diaphragm? Severe blood loss?

    And would peritonitis be likely?

    I've googled, but can only find stuff that's too technical to understand! Any help much appreciated.


Comments

  • #2
    baalthor
    Registered Users, Registered Users 2 Posts: 1,241 ✭✭✭baalthor


    Maybe these guys will be able to answer your question ...

    I myself don't have any practical experience in this area :)


  • #3
    Livvie
    Registered Users, Registered Users 2 Posts: 714 ✭✭✭Livvie


    baalthor wrote: »
    Maybe these guys will be able to answer your question ...

    I myself don't have any practical experience in this area :)

    Thanks. :)

    Is it OK to broach a research question there? Maybe a mod. could tell me?


  • #4
    Sarky
    Closed Accounts Posts: 31,967 ✭✭✭✭Sarky


    PM one of the Health Sciences mods, they'll be able to tell you.


  • #5
    drkpower
    Registered Users, Registered Users 2 Posts: 5,475 ✭✭✭drkpower


    Livvie wrote: »
    If someone is stabbed in the area of the waist/upper abdomen, what's the best scenario for the victim to need life-saving surgery that would be successful with no lasting damage?

    Ruptured diaphragm? Severe blood loss?

    And would peritonitis be likely?

    I've googled, but can only find stuff that's too technical to understand! Any help much appreciated.

    Many many things could happen dependent on depth/precise position of stabwound and what is pierced. But typical result might be bowel rupture and rupture of a significant blood vessel (mesenteric artery) which would require immediate life saving treatment (repair/excision of dead bowel, repair of artery), would cause perotinitis (bowel contents in bowel cavity) and would, if you are lucky cause no "lasting damage". Although you are likely to need a bowel stoma (opening onto abdominal walll) for a time before re-joining - although on occasion a primary repair and anastamosis can be done.


  • #6
    Livvie
    Registered Users, Registered Users 2 Posts: 714 ✭✭✭Livvie


    drkpower wrote: »
    Many many things could happen dependent on depth/precise position of stabwound and what is pierced. But typical result might be bowel rupture and rupture of a significant blood vessel (mesenteric artery) which would require immediate life saving treatment (repair/excision of dead bowel, repair of artery), would cause perotinitis (bowel contents in bowel cavity) and would, if you are lucky cause no "lasting damage". Although you are likely to need a bowel stoma (opening onto abdominal walll) for a time before re-joining - although on occasion a primary repair and anastamosis can be done.

    Thanks...might have to reconsider. Don't want our hero to have a stoma!

    And damage to the diaphragm? How is that treated?

    Much appreciated.

    (Peritonitis is appealing though...sounds suitably dramatic but dignified.)


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  • #7
    drkpower
    Registered Users, Registered Users 2 Posts: 5,475 ✭✭✭drkpower


    Livvie wrote: »
    And damage to the diaphragm? How is that treated?

    Much appreciated.

    (Peritonitis is appealing though...sounds suitably dramatic but dignified.)

    Surgery; laparotomy.
    It would probably be a much higher stabwound that waist though; diaphragm is just under your lungs.
    Not sure how dignified peritonitis is though! People tend to be in severe severe pain although they cant really move much so it might appear dignified!


  • #8
    Livvie
    Registered Users, Registered Users 2 Posts: 714 ✭✭✭Livvie


    drkpower wrote: »
    Surgery; laparotomy.
    It would probably be a much higher stabwound that waist though; diaphragm is just under your lungs.
    Not sure how dignified peritonitis is though! People tend to be in severe severe pain although they cant really move much so it might appear dignified!

    Severe pain is fine...not that I'm a sadist. As long as it's nothing to do with the bowels.


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