>Year 2001, Issue 4
Vizcarra DA, Pérez AJ, Magaña SI, Cabello PR
Non-therapeutic laparotomy for penetrating wounds to the back and flank of the abdomen; proposal of a study algorithm
Cir Gen 2001; 23 (4)
PDF: 4. Kb.
Objective: To identify the frequency, morbidity and mortality of non-therapeutic laparotomies as a consequence of penetrating abdominal wounds to the back and flank, and to propose an algorithm for diagnosis and treatment of this type of lesions.
Setting: Third level health care hospital.
Patients and methods: We analyzed the incidence and morbidity of non-therapeutic laparotomies, due to penetrating trauma caused by stabbing or fire arms in patients admitted to our hospital. We reviewed surgery indications and type of complications.
Results: A total of 368 exploratory laparotomies were performed, and, of these, 244 (66%) were due to firearm injuries; 124 (34%) were due to injuries caused by stabbing, of which 71 (19%) were non-therapeutic. The main indication for surgery was the suspicion of penetration with peritoneal irritation data, the main finding was hepatic lesion grade I. Frequency of complications was of 17%, the main causes were atelectasis, wound and urinary tract infections.
Conclusion: Non-therapeutic laparotomies due to penetrating trauma of the abdomen to the back and flank are more frequent for stab lesions, especially if the indication for surgery is based only on subjective data. This produces a high morbidity. Therefore, it is necessary to establish a management algorithm for the precise diagnosis and treatment of this type of lesions.
||Non-therapeutic laparotomy, abdominal trauma.
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>Year 2001, Issue 4