Evolution in abdominal trauma: Ege University experience [Abdominal travmada de?işim süreci: Ege Üniversitesi deneyimi]
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: Since the last two decades there has been an evolution in the diagnosis and management of trauma. A shift has also been seen in the etiological pattern of trauma. In this study, we evaluated the reflection of changes in abdominal trauma on our patients. Materials and methods: A total of 601 adult penetrating and blunt trauma patients admitted to our clinic between July 1994 - September 2005 were evaluated and compared retrospectively between two different time intervals (Period I = July 1994 - December 1999 and Period II = January 2000 - September 2005). Results: Eighty-three percent of the patients studied were male while 17% were female. The mean age was 33.4 ± 12 years. There were 50.7% injuries due to blunt and 49.3% due to penetrating trauma. The main cause of penetrating trauma was stabbing (31.4%), while road accident was the main cause of blunt trauma (42%). Penetrating injury increased from 41.5% to 56% (p<0.05), while blunt trauma rates decreased from 58% to 44% (p<0.05). When comparing DPL rates between two different time intervals it was observed that the indication of DPL decreased significantly in period II from 31.3% to 10.6% (p<0.05). Nonoperative management, which was started in period II, was carried out in 65124.7%) patients. Diagnostic laparoscopy was used in 11 (7.9%) of the 153 patients in period II. Conclusion: Abdominal trauma is in evolution with respect to the developmental technology and changing algorithms. It is logical that this change will effect surgical education and practice.
Açıklama
Anahtar Kelimeler
Abdominal trauma, Diagnostic peritoneal lavage, Nonoperative management, Surgery
Kaynak
Turkish Journal of Surgery
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
21
Sayı
4
