Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
NEGATIVE LAPAROTOMY IN ABDOMINAL GUNSHOT WOUNDS - POTENTIAL IMPACT OFLAPAROSCOPY
Autore:
SOSA JL; BAKER M; PUENTE I; SIMS D; SLEEMAN D; GINZBURG E; MARTIN L;
Indirizzi:
UNIV MIAMI,SCH MED,RYDER TRAUMA CTR,POB 016960 MIAMI FL 00000
Titolo Testata:
The journal of trauma, injury, infection, and critical care
fascicolo: 2, volume: 38, anno: 1995,
pagine: 194 - 197
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELECTIVE CONSERVATIVE MANAGEMENT; PERITONEAL-LAVAGE; LOWER CHEST; ABDOMEN; TRAUMA; BLUNT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
22
Recensione:
Indirizzi per estratti:
Citazione:
J.L. Sosa et al., "NEGATIVE LAPAROTOMY IN ABDOMINAL GUNSHOT WOUNDS - POTENTIAL IMPACT OFLAPAROSCOPY", The journal of trauma, injury, infection, and critical care, 38(2), 1995, pp. 194-197

Abstract

Objective: To evaluate the morbidity and hospital stay resultant fromnegative exploratory laparotomy (NL) for abdominal gunshot wounds (ABGSWs) and the potential impact the use of diagnostic laparoscopy (DL) could have on these variables. Design: A retrospective study was conducted. Materials and Methods: The charts of all patients with ABGSWs over a 4-year period were reviewed. Data was collected on injuries, rateof NL, morbidity and hospital stay. This was compared to a subsequentgroup of patients with ABGSWs managed with a DL protocol. Measurements and Main Results: Over a 4-year period, 817 patients had exploratorylaparotomy (EL) for ABGSWs. The NL rate was 12.4% (101 of 817); 69 ofthese patients had no associated injury or other procedures. They hada 22% morbidity and an average hospital stay of 5.1 days. Subsequently, 85 patients with ABGSWs underwent DL, This group was similar to theEL group and would have undergone EL prior to the introduction of DL at our institution. In this group, 34 patients had no associated injury or other procedures. They had a 3% morbidity, and their average hospital stay was 1.4 days. The morbidity and hospital stay were statistically significantly reduced (p < 0.01) in patients with negative DL versus NL. Conclusions: These data demonstrate that NL is associated witha high morbidity and long hospital stay. The use of DL can reduce therate of NL, and result in lower morbidity and shorter hospital stay in patients with ABGSWs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 15:05:41