Characteristics and management of penetrating abdominal injuries in a German level I trauma center.
Purpose: Penetrating abdominal injuries caused by stabbing or firearms are rare in Germany, thus there is lack of descriptive studies. The management of hemodynamically stable patients is still under dispute. The aim of this study is to review and improve our management of penetrating abdominal inju...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 45; no. 2; pp. 315 - 322 |
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| Autores principales: | , , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135779025&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135779025 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2019 vid: 45 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 135779025 135779025 135779025 10.1007/s00068-018-0911-1 135779025 ppf: 315 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Characteristics and management of penetrating abdominal injuries in a German level I trauma center. aug: au: Malkomes, Patrizia El Youzouri, Hanan Bechstein, Wolf Otto Störmann, Philipp Wutzler, Sebastian Marzi, Ingo Vogl, Thomas Habbe, Nils affil: Department of General and Visceral Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany sug: subj: Wounds, Penetrating Therapy Abdominal Injuries Therapy Wound Care Germany Human Retrospective Design Record Review Wounds, Stab Wounds, Gunshot Germany Ultrasonography Tomography, X-Ray Computed Descriptive Statistics Laparoscopy ab: Purpose: Penetrating abdominal injuries caused by stabbing or firearms are rare in Germany, thus there is lack of descriptive studies. The management of hemodynamically stable patients is still under dispute. The aim of this study is to review and improve our management of penetrating abdominal injuries. Methods: We retrospectively reviewed a 10-year period from the Trauma Registry of our level I trauma center. The data of all patients regarding demographics, clinical and outcome parameters were examined. Further, charts were reviewed for FAST and CT results and correlated with intraoperative findings. Results: A total of 115 patients with penetrating abdominal trauma (87.8% men) were analyzed. In 69 patients, the injuries were caused by interpersonal violence and included 88 stab and 4 firearm wounds. 8 patients (6.9%) were in a state of shock at presentation. 52 patients (44.8%) suffered additional extraabdominal injuries. 38 patients were managed non-operatively, while almost two-thirds of all patients underwent surgical treatment. Hereof, 20 laparoscopies and 3 laparotomies were nontherapeutic. There were two missed injuries, but no patient experienced morbidity or mortality related to delay in treatment. 106 (92.2%) FAST and 91 (79.3%) CT scans were performed. Sensitivity and specificity of FAST were 59.4 and 94.2%, while those of CT were 93.2 and 85.1%, respectively. Conclusion: In hemodynamically stable patients presenting with penetrating abdominal trauma, CT is indicated and the majority of injuries can be managed conservatively. If surgical treatment is required, diagnostic laparoscopy for stable patients is feasible to avoid nontherapeutic laparotomy. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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