[Retroperitoneal hematoma as a consequence of blunt abdominal injury]. / Retroperitonealni hematomi nastali nakon tupe traume abdomena.

In our examination we have used clinical material of 448 cases treated in our clinics for blunt abdominal trauma in period from 1976. to 1988. with special care on the group of 172 patients in who the retroperitoneal haematoma was founded. In the group of 172 patients we have examined the frequency on way to age, sex, and presence of the retroperitoneal haematoma in clinical picture of the blunt abdominal injury, and frequency of the retroperitoneal haematoma in abdominal injury connected with the injuries of the other organs.

[Injuries of the diaphragm examined from 1976 to 1988]. / Povrede dijafragme posmatrane kroz period od 1976-1988, godine.

The authors review 28 patients with the diaphragmal injury treated at the Surgical Clinic of the Clinical hospital centre "Firule" Split in the period from 1976 to 1988. The distribution of the injuries in consideration of age and sex, the most frequent lesions of the organs connected with the diaphragmal injury, number of the patients in different years as the structure inside this group of the patients is shown.

[Epidemiologic aspects of splenic injuries observed from 1958 to 1988 in our department]. / Epidemioloski aspekt povreda slezene posmatran kroz period od 1958. do 1988. godine na nasem odjelu.

The authors have reviewed the frequency of the patients with splenic injuries treated on the Surgical clinics of the Clinical Hospital Centre "Firule" Split in period from 1958 to 1988. The distribution of the splenic injuries in consideration to age, sex such as the lethality inside this group is shown.

[Perforation of the small intestine as a sequela of blunt injuries of the abdomen during a 12-year period]. / Perforacija tankog crijeva kao posljedica tupe ozljede abdomena tijekom 12-godisnjeg razdoblja.

The paper presents 44 cases of small intestine perforation caused by blunt abdominal trauma in a period of 12 years. 34 patients were men and 10 were women. The patients were aged from 10 to 82 years which gives an average age of 39 years. The average incidence of cases was 4 per year. In 23 patients associated injuries were diagnosed, namely: 5 spleen ruptures, 3 liver ruptures, 5 colon perforations, 1 pancreas injury and 1 kidney injury. Associated injuries in which the dominant syndrome was intraabdominal hemorrhage presented no diagnostical difficulties seeing that the results of punction or abdomen lavage indicated immediate laparotomy. In patients with isolated injury of the small intestine and clinical signs of peritonitis laparotomy was treated with a two layer suture in 32 patients; in 12 patients resection with T-T or L-L anastomosis was made. Associated injuries were treated in the same act. Of 44 patients treated in our Clinic 37 were treated successfully, while 7 died.

[Rupture of the retroperitoneal duodenum due to blunt abdominal trauma]. / Rupture retroperitonealnog duodenuma poslije tupih abdominalnih trauma.

We are reported eight patients after blunt abdominal trauma with rupture of retroperitoneal part of the duodenum, with etiology of injury and with their surgical treatment. We emphasized diagnostic troubles and great mortality in the cases of missed duodenal rupture in the preoperative and in the intraoperative time. The result of successful therapy depend of quick recognizing of the retroperitoneal part of the duodenum and of the operation treatment.

[Injuries of the pancreas]. / Ozljede pankreasa.

At the Surgical Clinic of the University Hospital Center "Firule" Split in the period from 1977-1987. years were treated 12 patients with injuries of the pancreas. That is 4% of all abdominal injuries treated in those 11 years. We presented 10 patients after blunt abdominal trauma and 2 after penetrating injuries of abdomen associated with acute pancreatic injury. The most important is early recognizing injury of pancreas and making the time from moment of injury to surgical exploration shorter as much as possible. There is no early specific signs of injury of pancreas and the key to treatment is accurate evaluation of extent of injury.