The spectrum of injuries resulting from abdominal stab wounds with isolated omental evisceration: A South African experience

Victor Kong, Ross Weale, Joanna Blodgett, Johan Buitendag, George Oosthuizen, John Bruce, Grant Laing, Damian Clarke

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

6 Citas (Scopus)

Resumen

Introduction: The spectrum of injury associated with anterior abdominal stab wounds (SWs) is well established. The literature in the specific setting of isolated omental evisceration is limited. Materials and methods: We reviewed our experience of 244 consecutive patients with established indications for laparotomy over an eight year period at a major trauma centre in South Africa. Results: Of the 244 patients (93% male, mean age: 27 years), 224 (92) underwent immediate laparotomy (IL). Twenty were initially observed and eventually required a laparotomy (delayed laparotomy, DL). The mean time from injury to decision for laparotomy was <3 h in 92% (224/244), <6 h in 6% (14/244), <12 h 2% (4/244) and <18 h in 1% (2/244). Ninety-eight per cent (238/244) of laparotomies were positive and 96% of the positive laparotomies (229/238) were considered therapeutic. The mostly commonly injured organ encountered on laparotomy were small bowel, stomach and colon. Conclusions: The most commonly injures encountered are intestinal and gastric. Clinicians must remain vigilant as injuries may be subtle.

Idioma originalEnglish
Páginas (desde-hasta)653-657
Número de páginas5
PublicaciónAmerican Journal of Surgery
Volumen217
N.º4
DOI
EstadoPublished - abr. 2019
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2018 Elsevier Inc.

ASJC Scopus Subject Areas

  • Surgery

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