{"id":"https://openalex.org/W4387930690","doi":"https://doi.org/10.36303/sajs.4088","title":"Successful management of a thoracoabdominal impalement injury","display_name":"Successful management of a thoracoabdominal impalement injury","publication_year":2023,"publication_date":"2023-12-01","ids":{"openalex":"https://openalex.org/W4387930690","doi":"https://doi.org/10.36303/sajs.4088","pmid":"https://pubmed.ncbi.nlm.nih.gov/37877268"},"language":"en","primary_location":{"id":"doi:10.36303/sajs.4088","doi":"https://doi.org/10.36303/sajs.4088","is_oa":true,"landing_page_url":"http://dx.doi.org/10.36303/sajs.4088","pdf_url":null,"source":{"id":"https://openalex.org/S68167138","display_name":"South African Journal of Surgery","issn_l":"0038-2361","issn":["0038-2361","2078-5151"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310315356","host_organization_name":"Academy of Science of South Africa","host_organization_lineage":["https://openalex.org/P4310315356"],"host_organization_lineage_names":["Academy of Science of South Africa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African Journal of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://dx.doi.org/10.36303/sajs.4088","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000769105","display_name":"Achu Jacob Philip","orcid":"https://orcid.org/0000-0002-8846-5528","observed_orcids":["https://orcid.org/0000-0002-8846-5528"]},"institutions":[{"id":"https://openalex.org/I163150328","display_name":"Pondicherry Institute of Medical Sciences","ror":"https://ror.org/03kkr2s40","country_code":"IN","type":"education","lineage":["https://openalex.org/I163150328"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"AJ Philip","raw_affiliation_strings":["Department of General Surgery, Pondicherry Institute of Medical Sciences, \rIndia"],"raw_orcid":"https://orcid.org/0000-0002-8846-5528","affiliations":[{"raw_affiliation_string":"Department of General Surgery, Pondicherry Institute of Medical Sciences, \rIndia","institution_ids":["https://openalex.org/I163150328"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017628381","display_name":"D N Sneha","orcid":"https://orcid.org/0000-0002-9630-9306","observed_orcids":["https://orcid.org/0000-0002-9630-9306"]},"institutions":[{"id":"https://openalex.org/I163150328","display_name":"Pondicherry Institute of Medical Sciences","ror":"https://ror.org/03kkr2s40","country_code":"IN","type":"education","lineage":["https://openalex.org/I163150328"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"DV Sneha","raw_affiliation_strings":["Department of General Surgery, Pondicherry Institute of Medical Sciences, \rIndia"],"raw_orcid":"https://orcid.org/0000-0002-9630-9306","affiliations":[{"raw_affiliation_string":"Department of General Surgery, Pondicherry Institute of Medical Sciences, \rIndia","institution_ids":["https://openalex.org/I163150328"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001833428","display_name":"Nithin Theckumparampil","orcid":"https://orcid.org/0000-0002-4169-2467","observed_orcids":["https://orcid.org/0000-0002-4169-2467"]},"institutions":[{"id":"https://openalex.org/I163150328","display_name":"Pondicherry Institute of Medical Sciences","ror":"https://ror.org/03kkr2s40","country_code":"IN","type":"education","lineage":["https://openalex.org/I163150328"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"N Theckumparampil","raw_affiliation_strings":["Department of Radiology, Pondicherry Institute of Medical Sciences, \rIndia"],"raw_orcid":"https://orcid.org/0000-0002-4169-2467","affiliations":[{"raw_affiliation_string":"Department of Radiology, Pondicherry Institute of Medical Sciences, \rIndia","institution_ids":["https://openalex.org/I163150328"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101493778","display_name":"Sadasivan Jagdish","orcid":"https://orcid.org/0000-0002-2883-3325","observed_orcids":["https://orcid.org/0000-0002-2883-3325"]},"institutions":[{"id":"https://openalex.org/I163150328","display_name":"Pondicherry Institute of Medical Sciences","ror":"https://ror.org/03kkr2s40","country_code":"IN","type":"education","lineage":["https://openalex.org/I163150328"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"S Jagdish","raw_affiliation_strings":["Department of General Surgery, Pondicherry Institute of Medical Sciences, \rIndia"],"raw_orcid":"https://orcid.org/0000-0002-2883-3325","affiliations":[{"raw_affiliation_string":"Department of General Surgery, Pondicherry Institute of Medical Sciences, \rIndia","institution_ids":["https://openalex.org/I163150328"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I163150328"],"apc_list":null,"apc_paid":null,"fwci":0.2247,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.5361224,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"61","issue":"4","first_page":"232","last_page":"233"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.5454000234603882,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.5454000234603882,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.40380001068115234,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.03539999946951866,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/impalement-injury","display_name":"impalement injury","score":0.9509999752044678},{"id":"https://openalex.org/keywords/thoracoabdominal-trauma","display_name":"thoracoabdominal trauma","score":0.8140000104904175},{"id":"https://openalex.org/keywords/penetrating-trauma","display_name":"penetrating trauma","score":0.7620000243186951},{"id":"https://openalex.org/keywords/foreign-body-removal","display_name":"foreign body removal","score":0.7519999742507935},{"id":"https://openalex.org/keywords/diaphragmatic-injury","display_name":"diaphragmatic injury","score":0.8830000162124634},{"id":"https://openalex.org/keywords/colostomy","display_name":"colostomy","score":0.6549999713897705},{"id":"https://openalex.org/keywords/iron-rod","display_name":"iron rod","score":0.3479999899864197},{"id":"https://openalex.org/keywords/popliteal-fossa","display_name":"popliteal fossa","score":0.656000018119812},{"id":"https://openalex.org/keywords/initial-resuscitation","display_name":"early resuscitation","score":0.5550000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.971476137638092},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7259380221366882},{"id":"https://openalex.org/C2778766689","wikidata":"https://www.wikidata.org/wiki/Q595453","display_name":"Colostomy","level":2,"score":0.5755458474159241},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.5709545016288757},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.5504381656646729},{"id":"https://openalex.org/C2778456384","wikidata":"https://www.wikidata.org/wiki/Q1508510","display_name":"Perforation","level":3,"score":0.5227825045585632},{"id":"https://openalex.org/C164292776","wikidata":"https://www.wikidata.org/wiki/Q5271779","display_name":"Diaphragm (acoustics)","level":3,"score":0.5178139805793762},{"id":"https://openalex.org/C2779995113","wikidata":"https://www.wikidata.org/wiki/Q1455142","display_name":"Foreign body","level":2,"score":0.5044347047805786},{"id":"https://openalex.org/C2909930183","wikidata":"https://www.wikidata.org/wiki/Q333495","display_name":"Accidental fall","level":2,"score":0.44680631160736084},{"id":"https://openalex.org/C126965237","wikidata":"https://www.wikidata.org/wiki/Q816335","display_name":"Accidental","level":2,"score":0.442375123500824},{"id":"https://openalex.org/C2779018429","wikidata":"https://www.wikidata.org/wiki/Q129757","display_name":"Thigh","level":2,"score":0.42725926637649536},{"id":"https://openalex.org/C2778292851","wikidata":"https://www.wikidata.org/wiki/Q2562565","display_name":"Descending colon","level":3,"score":0.4156056046485901},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C2781074409","wikidata":"https://www.wikidata.org/wiki/Q158716","display_name":"Rectum","level":2,"score":0.0},{"id":"https://openalex.org/C24890656","wikidata":"https://www.wikidata.org/wiki/Q82811","display_name":"Acoustics","level":1,"score":0.0},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.0},{"id":"https://openalex.org/C2778527123","wikidata":"https://www.wikidata.org/wiki/Q11750728","display_name":"Punching","level":2,"score":0.0},{"id":"https://openalex.org/C157138929","wikidata":"https://www.wikidata.org/wiki/Q570","display_name":"Loudspeaker","level":2,"score":0.0},{"id":"https://openalex.org/C191897082","wikidata":"https://www.wikidata.org/wiki/Q11467","display_name":"Metallurgy","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.36303/sajs.4088","doi":"https://doi.org/10.36303/sajs.4088","is_oa":true,"landing_page_url":"http://dx.doi.org/10.36303/sajs.4088","pdf_url":null,"source":{"id":"https://openalex.org/S68167138","display_name":"South African Journal of Surgery","issn_l":"0038-2361","issn":["0038-2361","2078-5151"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310315356","host_organization_name":"Academy of Science of South Africa","host_organization_lineage":["https://openalex.org/P4310315356"],"host_organization_lineage_names":["Academy of Science of South Africa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African Journal of Surgery","raw_type":"journal-article"},{"id":"pmid:37877268","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37877268","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie","raw_type":"Journal Article"},{"id":"pmid:38450698","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38450698","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.36303/sajs.4088","doi":"https://doi.org/10.36303/sajs.4088","is_oa":true,"landing_page_url":"http://dx.doi.org/10.36303/sajs.4088","pdf_url":null,"source":{"id":"https://openalex.org/S68167138","display_name":"South African Journal of Surgery","issn_l":"0038-2361","issn":["0038-2361","2078-5151"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310315356","host_organization_name":"Academy of Science of South Africa","host_organization_lineage":["https://openalex.org/P4310315356"],"host_organization_lineage_names":["Academy of Science of South Africa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"South African Journal of Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W1976734863","https://openalex.org/W2022836182","https://openalex.org/W2318884334","https://openalex.org/W2767953962","https://openalex.org/W2892338013","https://openalex.org/W2897642279"],"related_works":["https://openalex.org/W4319926769","https://openalex.org/W4415556729","https://openalex.org/W3001271823","https://openalex.org/W4415791274","https://openalex.org/W2119271798","https://openalex.org/W2067514103","https://openalex.org/W7043811575","https://openalex.org/W2051872270","https://openalex.org/W3082250949","https://openalex.org/W4320037553"],"abstract_inverted_index":{"A":[0],"63-year-old":[1],"female":[2],"presented":[3],"to":[4,66,81,103],"the":[5,26,30,70,76,82,86,90,94,104,108,115,158,191,195],"hospital":[6],"with":[7,79],"a":[8,15,174],"history":[9],"of":[10,25,89,107,114,190,197],"alleged":[11],"accidental":[12],"fall":[13],"onto":[14],"rusted":[16],"iron":[17,56,95],"rod.":[18],"She":[19,141,148],"was":[20,33,46,59,97,110,118,123,127,135,139,142],"hypotensive":[21],"but":[22],"stable.":[23],"Cooling":[24],"rod":[27,57,96],"while":[28],"cutting":[29],"protruding":[31],"part":[32],"performed":[34],"as":[35,125,152],"per":[36],"basic":[37],"trauma":[38],"life":[39],"support":[40],"(BTLS)":[41],"access.":[42],"Following":[43],"resuscitation,":[44,179],"she":[45],"re-evaluated":[47],"clinically":[48],"and":[49,51,85,120,157,167,182],"radiologically,":[50],"prepared":[52],"for":[53,150],"surgery.":[54],"The":[55,101,112,131],"trajectory":[58],"shown":[60],"on":[61,144],"computed":[62],"tomography":[63],"(CT)":[64],"scan":[65],"be":[67],"entering":[68],"through":[69],"left":[71,87,105],"popliteal":[72],"fossa,":[73],"then":[74],"traversing":[75],"abdominal":[77],"cavity":[78],"injury":[80],"descending":[83,116],"colon":[84,117],"dome":[88,106],"diaphragm.":[91],"At":[92],"laparotomy":[93],"removed":[98],"under":[99,202],"vision.":[100],"laceration":[102],"diaphragm":[109],"repaired.":[111,121],"perforation":[113],"identified":[119],"Colostomy":[122],"deferred":[124],"there":[126],"no":[128],"peritoneal":[129],"contamination.":[130],"penetrating":[132],"thigh":[133,159],"wound":[134,160],"debrided.":[136],"Her":[137],"recovery":[138],"uneventful.":[140],"discharged":[143],"postoperative":[145],"day":[146],"15.":[147],"came":[149],"follow-up":[151],"out-patient":[153],"after":[154],"3":[155],"weeks":[156],"had":[161],"healed.":[162],"Impalement":[163],"injuries":[164,172],"are":[165],"rare":[166],"often":[168],"severe.":[169],"Most":[170],"impalement":[171],"require":[173],"multidisciplinary":[175],"approach.":[176],"Adequate":[177],"early":[178,183],"proper":[180],"evaluation":[181],"surgical":[184],"management":[185],"is":[186,199,204],"ideal.":[187],"Immediate":[188],"stabilisation":[189],"foreign":[192],"body":[193],"from":[194],"time":[196],"encounter":[198],"essential.":[200],"Removal":[201],"anaesthesia":[203],"mandatory.":[205]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-10-26T00:00:00"}