Postoperative complications of intestinal anastomosis after blunt abdominal trauma

Mahmood, Ismail; Mustafa, Fuad; Younis, Basil; Ahmed, Khalid; El‐Menyar, Ayman; Asim, Mohammad; Al-Hassani, Ammar; Peralta, Rubén; Al-Thani, Hassan

doi:10.1007/s00068-018-1013-9

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…Our previous work in 2020 showed that in 160 trauma patients with bowel injury, 46.3% of patients underwent debridement and primary closure, while 53.8% required resection with anastomosis. The anastomotic leaks in the resection anastomosis group were 13 out of 86 patients (15.1%; [ 17 ]).…”

Section: Discussionmentioning

confidence: 99%

The use of Indocyanine green fluorescent in patients with abdominal trauma for better intraoperative decision-making and less bowel anastomosis leak: case series

Afifi

Abdelrahman

El-Faramawy

et al. 2021

Journal of Surgical Case Reports

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Despite technological advances in the management of blunt abdominal trauma, the rate of bowel anastomotic leakage (AL) remains high. The etiology of AL is multifactorial, but insufficient blood perfusion is considered to play a substantial role in the pathogenesis. In recent years, angiography with Indocyanine green (ICG), a fluorescent dye, has been introduced in the clinical practice to assess organ perfusion in several conditions. Given the scarcity of publications describing the use of ICG in trauma patients as a potentially useful strategy that may facilitate intraoperative decisions and limit the extent of bowel resection, we presented the utility of intraoperative ICG fluorescent in abdominal trauma patients in a level 1 trauma center. The use of ICG fluoroscopy in patients with abdominal trauma is feasible and useful; however, large prospective studies in trauma patients are warranted.

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Section: Discussionmentioning

confidence: 99%

The use of Indocyanine green fluorescent in patients with abdominal trauma for better intraoperative decision-making and less bowel anastomosis leak: case series

Afifi

Abdelrahman

El-Faramawy

et al. 2021

Journal of Surgical Case Reports

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“…Intestinal disruptions are the third most frequent injuries following BAT. 1 In some cases, with missed diagnosis on the initial presentation, hollow viscus injuries including bowel should be detected during laparotomy. These patients are more vulnerable to develop postoperative complications such as sepsis.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, there is a possibility of complications related to surgery like suture line dehiscence of intestinal repair, peritonitis, intra-abdominal abscess after bowel injury which can lead to prolonged hospital course, multi-organ failure, or even resulted in fatal outcomes. 1 Postoperative complications (POCs) have detrimental effects on many vital aspects of patients' health. About 7% -15% of patients with abdominal surgeries were anticipated to have POCs with a 0.79%-5.7% expected mortality rate.…”

Section: Introductionmentioning

confidence: 99%

Early Postoperative Complications after Exploratory Laparotomy for Abdominal Trauma

Saleh,

Eissa,

Obadiel

et al. 2023

Ain Shams Journal of Surgery

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Background:The mechanism of injury of abdominal trauma varies in different parts of the world and within the same country. Aim of this study was to determine the etiology of abdominal trauma, the evaluate the factors affecting morbidity and mortality in our region. Methods:The research data included 230 patients who underwent laparotomy and for abdominal trauma at 48 Model hospital, Sana'a, Yemen from June 2019 to December 2022. Data were entered and analyzed through SPSS version 26.Results: Regarding the general complications septicemia and pneumonia were the most common complications (23%) and (21.3%) respectively, DIC (13%), DVT (2.6%) and myocardial infarction (1.3%). Wound infection occured in 71 patients (30.9%) and wound dehiscence in 18 patients (7.8%). Paralytic ileus occurred in 38 patients (16.5%) and 4 patients (1.7%) had early intestinal obstruction. Bile leak and anastomosis leak rates were (5.2%) and (2.2%) respectively. Regarding fistulas 6 patients (2.6%) had enterocutaneous fistulas and 4 patients (1.7%) had pancreatic fistulas. Conclusion:Laparotomy for abdominal trauma is still one of the most common surgical procedures in our practice yet it carries a significant morbidity and mortality. Many negative laparotomies also have hazardous effects for patients and that necessitates further improvement in diagnosis and evaluation of their patients.

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Repair by Primary Closure of Traumatic Blunt Duodenal Injuries: Simple is Not Always Safe

Bagaria¹,

Agarwal²,

Jaiswal³

et al. 2022

Journal of Surgical Research

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Postoperative complications of intestinal anastomosis after blunt abdominal trauma

Cited by 4 publications

References 26 publications

The use of Indocyanine green fluorescent in patients with abdominal trauma for better intraoperative decision-making and less bowel anastomosis leak: case series

The use of Indocyanine green fluorescent in patients with abdominal trauma for better intraoperative decision-making and less bowel anastomosis leak: case series

Early Postoperative Complications after Exploratory Laparotomy for Abdominal Trauma

Repair by Primary Closure of Traumatic Blunt Duodenal Injuries: Simple is Not Always Safe

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