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Titolo:
PROLONGED ABDOMINAL PACKING FOR TRAUMA IS ASSOCIATED WITH INCREASED MORBIDITY AND MORTALITY
Autore:
ABIKHALED JA; GRANCHI TS; WALL MJ; HIRSHBERG A; MATTOX KL;
Indirizzi:
BAYLOR COLL MED,CORA & WEBB MADING DEPT SURG,1 BAYLOR PLAZA HOUSTON TX 77030 BAYLOR COLL MED,CORA & WEBB MADING DEPT SURG HOUSTON TX 77030 BEN TAUB GEN HOSP HOUSTON TX 77030 CHAIM SHEBA MED CTR,DEPT GEN & VASC SURG TEL AVIV ISRAEL
Titolo Testata:
The American surgeon
fascicolo: 12, volume: 63, anno: 1997,
pagine: 1109 - 1112
SICI:
0003-1348(1997)63:12<1109:PAPFTI>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE HEPATIC-TRAUMA; LIVER TRAUMA; PLANNED REOPERATION; PERIHEPATIC PACKING; HEMORRHAGE; INJURIES; EXPERIENCE; MANAGEMENT; LAPAROTOMY;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
J.A. Abikhaled et al., "PROLONGED ABDOMINAL PACKING FOR TRAUMA IS ASSOCIATED WITH INCREASED MORBIDITY AND MORTALITY", The American surgeon, 63(12), 1997, pp. 1109-1112

Abstract

Abdominal packing and planned reoperation is a lifesaving technique for temporary control of hemorrhage in severely injured patients. Morbidity and mortality in this group of patients, however, remain significant. It is unclear whether the duration of packing impacts upon outcome. The purpose of this study is to evaluate the abscess, sepsis, and mortality rates associated with duration of abdominal packing. The records of 35 patients treated with abdominal packing between July 1994 and December 1995 who survived to reoperation were retrospectively reviewed. Evaluation included age; sex; mechanism; injuries; Abdominal Trauma Index; duration of packing; survival; and presence of abscess, sepsis or other infections. Patients packed for a total of 72 hours or less had lower abscess, sepsis, and mortality rates than those packed formore than 72 hours. The differences in abscess rate and mortality were statistically significant (P < 0.05). The Abdominal Trauma Index andmechanism of injury were similar for the two groups. Based on these results, we conclude that although abdominal packing is a useful technique in the severely injured patient, it is associated with greater morbidity and mortality when the duration of packing exceeds 72 hours.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 03:08:42