Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2012, Issue 6


Díaz-Rosales JD, Enríquez-Domínguez L, Castillo-Moreno JR, Herrera-Ramírez F
Preoperative leukocytosis as a predictor of intrabdominal injury in penetrating abdominal trauma
Cir Cir 2012; 80 (6)

Language: Español
References: 22
Page: 516-522
PDF: 201.55 Kb.


Texto completo


ABSTRACT

Background: in Mexico, the management of abdominal penetrating trauma doesn´t follows algorithms of Trauma Center level I, because our limitations and laparotomies are inevitable in this context. Is possible use some grade of leukocytosis suspect in-trabdominal lesion?
Methods: study retrospective, descriptive and analytic that inclu-ded patients with abdominal penetrating trauma that suffered exploratory laparotomy. We excluded patients´ whit severe damage to soft tissues in extremities, thoracic affection, fractures, or da-mage in nervous system. We divided 2 groups: group I (therapeutic laparotomy) and group II (non-therapeutic laparotomy). Dependent variables were; age, gender, type of injury, number of lesions, peripheral lesions, time between injury and take blood sample to laboratory, leukocytosis mean, percentage of neutrophils, leukocytosis ≥ 12,500 /mm3, and hemoperitoneum. We compared variables between two groups and use Pearson χ2 test and T-Student, and percentages as summary of measures.
Results: we included 231 patients, group I with 159 patients and group II with 72 patients. Leukocytosis global was 13.2 mil/mm3 and neutrophil range of 70.3%. 26% of patients haven’t leukocytosis at arrival and evaluation, however they were laparotomized because present peritoneal irritation. Leukocytosis ≥ 12.5 mil/mm3 was statistical significant in patients with intrabdominal lesions (74.2% vs 27.7%, p ‹ 0.001).
Conclusions: leukocytosis ≥ 12.5 mil/mm3 could be an early serum marker about intrabdominal lesions in abdominal penetrating trauma.


Key words: leukocyte count standards, predictive value of tests, leukocytosis, wounds.


REFERENCIAS

  1. Díaz-Rosales JD, Enríquez-Domínguez L, Arriaga-Carrera JM, Gutiérrez-Ramírez PG. Trauma penetrante en abdomen y tórax: Estudio de casos en el Hospital General de Ciudad Juárez. Cir Gen 2009;31(1):9-13.

  2. Díaz-Rosales JD, Enríquez-Domínguez L, Arriaga-Carrera JM, Cabrera-Hinojosa JE, Gutiérrez-Ramírez PG. Trauma penetrante abdominal con lesión en intestino delgado, aislada y asociada a otros órganos: La relación respecto a la morbilidad y mortalidad en Ciudad Juárez Chihuahua. Cir Gen 2009;31(2):91-96.

  3. Enríquez-Domínguez L, Díaz-Rosales JD, Arriaga-Carrera JM, Gutiérrez-Ramírez PG, Castillo-Moreno JR, Rivas-Serna J. Trauma penetrante en colon: Comparativa de tratamientos. Cir Gen 2009;31(4):230-235.

  4. Díaz Rosales JD, Arriaga-Carrera JM, Enríquez-Domínguez L, Castillo-Moreno JR, Montes-Castañeda JG. Trauma penetrante abdominal: Comparativa de morbimortalidad en heridas por arma de fuego y arma punzocortante. Cir Gen 2010;32(1):24-28.

  5. Senado-Lara I, Castro-Mendoza A, Palacio-Vélez F, VargasÁvila AL. Experiencia en el manejo del abdomen agudo de origen traumático en el Hospital Regional “General Ignacio Zaragoza”. Cir Ciruj 2004;72(2):93-97.

  6. Sánchez Lozada R, Ortiz González J, Soto Villagrán R. Lesiones abdominales por traumatismo: experiencia de dos años en un hospital de tercer nivel. Cir Gen 2002;24:201-205.

  7. Pinedo-Onofre JA, Guevara-Torres L, Sánchez-Aguilar JM. Trauma abdominal penetrante. Cir Ciruj 2006;74(6):431-442.

  8. Biffl WL, Moore EE. Management guidelines for penetrating abdominal trauma. Curr Opin Crit Care 2010;16(6):609-617.

  9. Butt MU, Zacharias N, Velmahos GC. Penetrating abdominal injuries: management controversies. Scand J Trauma Resusc Emerg Med 2009;17(1):19.

  10. Como JJ, Bokhari F, Chiu WC, Duane TM, Holevar MR, Tandoh MA, et al. Practice Management Guidelines for Selective Nonoperative Management of Penetrating Abdominal Trauma. J Trauma 2010;68(3):721-733.

  11. Thacker LK, Parks J, Thal ER. Diagnostic Peritoneal Lavage: is 100,000 RBCs a Valid Figure for Penetrating Abdominal Trauma? J Trauma 2007;62(4):853-857.

  12. Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Hogan GJF, Scalea TM. Penetrating Torso Trauma: Triple-Contrast Helical CT in Peritoneal Violation and Organ Injury-A Prospective Study in 200 Patients. Radiology 2004;231(3):775-784.

  13. Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Scalea TM. Triple-contrast helical CT in penetrating torso trauma: a prospective study to determine peritoneal violation and the need for laparotomy. AJR Am J Roentgenol 2001;177(6):1247-1256.

  14. Soto JA, Morales C, Múnera F, Sanabria A, Guevara JM, Suárez T. Penetrating Stab Wounds to the Abdomen: Use of Serial US and Contrastenhanced CT in Stable Patients. Radiology 2001;220(2):365-371.

  15. Schnüriger B, Inaba K, Barmparas G, Eberle BM, Lustenberger T, Lam L, et al. Serial White Blood Cell Counts in Trauma: Do They Predict a Hollow Viscus Injury? J Trauma 2010;69(2):302-307.

  16. Abramson N, Melton B. Leukocytosis: basics of clinical assessment. Am Fam Physician 2000;62(9):2053-2060.

  17. Santucci CA, Purcell TB, Mejia C. Leukocytosis as a Predictor of Severe Injury in Blunt Trauma. West J Emerg Med 2008;9(2):81- 85.

  18. McCarthy DA, Grant M, Marbut M, Watling M, Wade AJ, Macdonald I, et al. Brief exercise induces an immediate and delayed leukocytosis. Br Sp Med 1991;25(4):191-195.

  19. Cander B, Tosun M, Kalkan E. Morphologic and quantitative analyses of leukocytes in patients with multiple system trauma. Adv Ther 2007;24(1):119-122.

  20. Casali M, Di Saverio S, Tugnoli G, Biscardi A, Villani S, Cancellieri F, et al. Penetrating abdominal trauma: 20 years experience in a Western European Trauma Center. Ann Ital Chir 2008;79(6):399- 407.

  21. Ertekin C, Yanar H, Taviloglu K, Güloglu R, Alimoglu O. Unnecessary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds. Emerg Med J 2005;22(11):790-794.

  22. Chang DC, Cornwell EE 3rd, Phillips J, Paradise J, Campbell K. Early leukocytosis in trauma patients: what difference does it make? Curr Surg 2003;60(6):632-635.






>Journals >Cirugía y Cirujanos >Year 2012, Issue 6
 

· Journal Index 
· Links 






       
Copyright 2019