Makay Ö.Firat Ö.Gürcü B.Sezer T.Içöz G.2019-10-272019-10-2720051300-07051300-0705https://hdl.handle.net/11454/21861Purpose: 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.trinfo:eu-repo/semantics/closedAccessAbdominal traumaDiagnostic peritoneal lavageNonoperative managementSurgeryArticle214196200Q3