Management of Patients With Anterior Abdominal Stab Wounds: A Western Trauma Association Multicenter Trial

Biffl, Walter L.; Kaups, Krista L.; Cothren, Clay C.; Brasel, Karen J.; Dicker, Rochelle; Bullard, M. Kelley; Haan, James M.; Jurkovich, Gregory J.; Harrison, Paul; Moore, Forrest O.; Schreiber, Martin A.; Knudson, M. Margaret; Moore, Ernest E.

doi:10.1097/ta.0b013e31819dc688

Cited by 113 publications

(111 citation statements)

References 38 publications

Supporting

Mentioning

100

Contrasting

Unclassified

Order By: Relevance

“…In series where patients with penetrating injuries undergo routine explorative laparotomy, it has been shown that approxi- mately 30-50% of these patients do not actually require treatment (negative laparotomy) (21)(22)(23). In our study, the negative laparotomy rate was 28% and we believe this rate will decrease with more rigorous clinical and laboratory evaluation and perhaps with more effective use of diagnostic laparoscopy.…”

Section: Discussionmentioning

confidence: 60%

The conservative management of abdominal injuries

Okuş

Sevinç

et al. 2014

UCD

View full text Add to dashboard Cite

Objective: Non-operative management of abdominal injuries has recently become more common. Especially nonoperative treatment of blunt abdominal trauma is gaining wide acceptance. In this study, the efficacy of nonoperative treatment in abdominal trauma (blunt penetrating) is discussed. Material and Methods:All patients who received treatment due to abdominal trauma from November 2008 to January 2013 were retrospectively analyzed. The demographic characteristics, type of injury, injured organ, type of treatment (operative vs. nonoperative) and mortality data were evaluated. Results:The study includes 115 patients treated for abdominal trauma in our department. The mechanism of trauma was stab wounds in 60%, blunt abdominal trauma in 23.5% and gunshot wounds in 16.5%. Forty-two patients (36.5%) were operated for hemodynamic instability and/or peritonitis on admission. The remaining 63.5% of patients (n=73) were treated nonoperatively, 10 of whom required laparotomy during follow-up. The remaining 63 patients were treated with non-operative management. The success rate for non-operative treatment was 86.3% and there was no difference in terms of the types of injuries. The mortality rate was 4.3% (n= 5) in the whole series, but there were no deaths among the patients who had received non-operative treatment. In the whole patient group 54.2% (n=63) were treated nonoperatively. Conclusion:Nonoperative treatment in abdominal trauma is safe and effective. Patients with clinical stability and normal physical examination findings can be treated nonoperatively with close monitoring.

show abstract

Section: Discussionmentioning

confidence: 60%

The conservative management of abdominal injuries

Okuş

Sevinç

et al. 2014

UCD

View full text Add to dashboard Cite

show abstract

“…Laparotomide gözden kaçan yaralanmaların başlıca sebepleri ise yetersiz cerrahi eksplorasyon, zayıf cerrahi teknik ya da cerrahın deneyimsizliğidir (2,4). Yüksek kinetik enerjili silahlarla meydana gelen abdominal yaralanmalarda uygun görüş sağlamak için ksifoidden pubise kadar uzanan orta hat insizyonu yapılmalıdır.…”

Section: Discussionunclassified

Ateşli Silah Yaralanmasında Gözden Kaçan İncebarsak Yaralanması: Olgu Sunumu

Uğur

Oruç

Akküçük

et al. 2016

Mustafa Kemal Üniv Tıp Derg

View full text Add to dashboard Cite

ÖZYüksek kinetik enerjili ateşli silahlarla meydana gelen abdominal yaralanmalarda ilk laparatomide gözden kaçan yaralanmalar özellikle savaş bölgelerinde sık karşılaşılan bir durumdur. En önemli sebebi yetersiz cerrahi eksplorasyon ve cerrahın deneyimsiz olmasıdır. Çok erken tespit edilerek tedavi edilenler dışında mortalite oranı yüksektir. Önlenmesi için yaralıların değerlendirilmesi ve eksplorasyonu sistematik bir şekilde yapılmalıdır. Hemodinamik olarak instabil olan yaralılarda hasar kontrol cerrahisi prensipleri uygulanmalıdır. Bu yazıda yüksek kinetik enerjili ateşli silahla abdominal bölgeden yaralanma sonrası laparotomi yapılan, ancak peritonit gelişmesi üzerine hastanemize gönderilen ve relaparatomide incebarsakta gözden kaçan yaralanma tespit edilen 21 yaşındaki erkek hastayı sunduk. The most common reasons are inefficient surgical explorations and inexperience of the surgeon. Mortality rate is high but early detection and initial treatment can reduce mortality.To avoid missed injuries abdominal exploration should be performed systematically. Damage control principles should be preferred in patients with unstable hemodynamic. We aimed to present a 21 years old patient with missed intestinal injury detected in relaparotomy.

show abstract

“…4,5 One study found that 50% of patients who sustained blunt trauma with equivocal findings and underwent a laparoscopy avoided the necessity for a laparotomy. 27 In other centres, the use of laparoscopic procedures resulted in a 70-80% reduction in the number of nontherapeutic laparotomies. 11,28 This reduction may be due to the tremendous improvement in laparoscopic techniques and tools over the past few decades.…”

Section: Benefits Of Laparoscopymentioning

confidence: 99%

The Use of Laparoscopy in the Management of Trauma Patients: Brief review

El-Bendary¹,

Al-Adawi²,

Al-Qadhi³

2016

SQUMJ

View full text Add to dashboard Cite

Laparoscopy is one of the most effective intervention modalities, resulting in improved outcomes for major surgeries. In the past decade, the laparoscopic approach in trauma patients has shown better diagnostic outcomes than traditional laparotomies. Furthermore, this approach is cost-effective, significantly reduces the length of hospital stay and contributes to reduced complication rates. However, the use of laparoscopies in trauma cases is generally restricted to patients with normal haemodynamic parameters and is contraindicated for individuals with head injuries. With advances in knowledge and improved training, laparoscopies can also be used in the treatment of other conditions, such as diaphragmatic injuries and organ lacerations. This article briefly reviews the extent of laparoscopy use and its significance in the management of trauma patients.

show abstract

Management of Patients With Anterior Abdominal Stab Wounds: A Western Trauma Association Multicenter Trial

Cited by 113 publications

References 38 publications

The conservative management of abdominal injuries

The conservative management of abdominal injuries

Ateşli Silah Yaralanmasında Gözden Kaçan İncebarsak Yaralanması: Olgu Sunumu

The Use of Laparoscopy in the Management of Trauma Patients: Brief review

Contact Info

Product

Resources

About