Castillo-Moreno JR, Enríquez-Domínguez L, Herrera-Ramírez F, Díaz-Rosales JD

Language: Spanish
References: 7
Page: 232-235
PDF size: 55.23 Kb.

ABSTRACT

Objective: To describe the characteristics of a population that was subjected to exploratory laparotomy due to penetrating abdominal trauma, with non-therapeutic results and to observe if the degree of alcohol and/or drug intoxications had an influence on performing the procedure.
Setting: General Hospital of Ciudad Juárez (second level health care).
Design: Prospective and cohort study.
Statistical analysis: Averages as summary measure, Fisher’s exact test and chi square test.
Patients and methods: We studied patients with abdominal penetrating trauma subjected to exploratory laparotomy due to suspicion of intraabdominal organ injury or retroperitoneal injury. Studied variables were: age, gender, degree of intoxication, type of toxic substance ingested, injury mechanisms, indication for surgery, surgical findings, post-surgical complications, and mortality.
Results: We studied 480 patients, 79% were subjected to therapeutic laparotomy and 21% to non-therapeutic laparotomy. Incidence of non-therapeutic laparotomy was of 35% in those injured by stabbing, whereas it was of 13% for those injured by fire arms (p ‹ 0.0001). Intoxication due to alcohol and drugs was encountered in 87% of patients with therapeutic laparotomy, whereas in the group of non-therapeutic laparotomy they accounted for 85%, without significant differences. In patients subjected to non-therapeutic laparotomy, 28 injuries to intraabdominal organs were found. The average hemoperitoneum was of 200 ml (± 100). Average surgical time was of 94 min (± 25). Seventeen infections of the surgical site occurred, mortality was nill, and the average in-hospital stay was of 4 days (± 2).
Conclusion: Non-therapeutic laparotomy is not related to a presurgical evaluation in a patient with alcohol and/or drugs intoxication.

REFERENCES

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