Conservative Management of Anterior Abdominal Penetrating Trauma

Background Selective conservative management of abdominal penetrating trauma can significantly minimize the morbidity and length of hospitalization by decreasing the rate of unnecessary laparotomies. Objectives In the present study, we reported the outcome of newest guidelines of our trauma cen...

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Autores principales:	Shahram Paydar, Parsa Ravanfar, Vahid Shakoori
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2014
Materias:	wounds abdomen trauma Medicine R
Acceso en línea:	https://doaj.org/article/ac5f9245a00a4233ba0989f9aa921913
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spelling	oai:doaj.org-article:ac5f9245a00a4233ba0989f9aa9219132021-11-14T07:57:32ZConservative Management of Anterior Abdominal Penetrating Trauma2783-243010.17795/acr-25741https://doaj.org/article/ac5f9245a00a4233ba0989f9aa9219132014-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45479_2e38da0737700743de3da2719568e142.pdfhttps://doaj.org/toc/2783-2430Background Selective conservative management of abdominal penetrating trauma can significantly minimize the morbidity and length of hospitalization by decreasing the rate of unnecessary laparotomies. Objectives In the present study, we reported the outcome of newest guidelines of our trauma center in one year. Patients and Methods All patients with anterior abdominal stab wounds who were referred to Rajaiee trauma center between September 2012 and September 2013 were enrolled. Patients without shock, peritonitis, and evisceration who did not require emergency operation were planned for nonoperative management with serial physical examinations, blood cells count, and radiographic investigations. Outcome of nonoperative management was described in order to reveal the advantages and disadvantages of our current guideline. Results Among 45 patients who underwent nonoperative management, 27 cases (60%) required laparotomy due to peritonitis or shock. Rate of unnecessary nontherapeutic operations was 49.2%. Conclusions Minimizing diagnostic procedures such as diagnostic peritoneal lavage and computed tomography can significantly increase the rate of unnecessary operations leading to longer hospitalizations and operation-related morbidity. To reduce the failure rate of nonoperative management and nontherapeutic surgeries, modifications in current guidelines should be made.Shahram PaydarParsa RavanfarVahid ShakooriShiraz University of Medical SciencesarticlewoundsabdomentraumaMedicineRENIranian Journal of Colorectal Research, Vol 2, Iss 4, Pp 0-0 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	wounds abdomen trauma Medicine R
spellingShingle	wounds abdomen trauma Medicine R Shahram Paydar Parsa Ravanfar Vahid Shakoori Conservative Management of Anterior Abdominal Penetrating Trauma
description	Background Selective conservative management of abdominal penetrating trauma can significantly minimize the morbidity and length of hospitalization by decreasing the rate of unnecessary laparotomies. Objectives In the present study, we reported the outcome of newest guidelines of our trauma center in one year. Patients and Methods All patients with anterior abdominal stab wounds who were referred to Rajaiee trauma center between September 2012 and September 2013 were enrolled. Patients without shock, peritonitis, and evisceration who did not require emergency operation were planned for nonoperative management with serial physical examinations, blood cells count, and radiographic investigations. Outcome of nonoperative management was described in order to reveal the advantages and disadvantages of our current guideline. Results Among 45 patients who underwent nonoperative management, 27 cases (60%) required laparotomy due to peritonitis or shock. Rate of unnecessary nontherapeutic operations was 49.2%. Conclusions Minimizing diagnostic procedures such as diagnostic peritoneal lavage and computed tomography can significantly increase the rate of unnecessary operations leading to longer hospitalizations and operation-related morbidity. To reduce the failure rate of nonoperative management and nontherapeutic surgeries, modifications in current guidelines should be made.
format	article
author	Shahram Paydar Parsa Ravanfar Vahid Shakoori
author_facet	Shahram Paydar Parsa Ravanfar Vahid Shakoori
author_sort	Shahram Paydar
title	Conservative Management of Anterior Abdominal Penetrating Trauma
title_short	Conservative Management of Anterior Abdominal Penetrating Trauma
title_full	Conservative Management of Anterior Abdominal Penetrating Trauma
title_fullStr	Conservative Management of Anterior Abdominal Penetrating Trauma
title_full_unstemmed	Conservative Management of Anterior Abdominal Penetrating Trauma
title_sort	conservative management of anterior abdominal penetrating trauma
publisher	Shiraz University of Medical Sciences
publishDate	2014
url	https://doaj.org/article/ac5f9245a00a4233ba0989f9aa921913
work_keys_str_mv	AT shahrampaydar conservativemanagementofanteriorabdominalpenetratingtrauma AT parsaravanfar conservativemanagementofanteriorabdominalpenetratingtrauma AT vahidshakoori conservativemanagementofanteriorabdominalpenetratingtrauma
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Conservative Management of Anterior Abdominal Penetrating Trauma

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