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Journals / SSK Tepecik Eğitim Hastanesi Dergisi / 2003 / Cilt: 13 - Sayı: 3

Evaluation of selective non-operative approach to the penetrating stab wounds of the abdomen: A retrospective study

Kesici delici aletlere bağlı penetran abdominal yaralanmalarda selektif non-operatif yaklaşımın değerlendirilmesi: Retrospektif bir çalışma

Haluk Recai ÜNALP
Taner AKGÜNER
Erdinç KAMER
Mustafa PEŞKERSOY
Mehmet Ali ÖNAL
Pages
137–142
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In- the non-operative group, 5 (8.6%) patients underwent surgery afterwards.Conclusion: We conclude that non-operatiue management may yield benefits in selective cases with penetrating abdominal trauma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The aim of this retrospective study is to assess the characteristics of the patients presenting with abdominal stab wounds who were treated with surgery or not.
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Key Findings & Data:Methods: The study included 204 patients admitted to our hospital presenting with penetrating abdominal trauma between 1998-2003.
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Conclusion & Impact:In- the non-operative group, 5 (8.6%) patients underwent surgery afterwards.Conclusion: We conclude that non-operatiue management may yield benefits in selective cases with penetrating abdominal trauma.
🔬Design:Research Article
📍Scope:2003 Verileri
⚙️Variables:Geriyedönük çalışma · Batın yaralanmaları · Laparotomi

Abstract

Aim: The aim of this retrospective study is to assess the characteristics of the patients presenting with abdominal stab wounds who were treated with surgery or not. Methods: The study included 204 patients admitted to our hospital presenting with penetrating abdominal trauma between 1998-2003. The patients were evaluated in terms of their presenting clinical characteristics and laboratory findings. Results: Of the patients, 146 (71.5%) underwent laporatomy, whereas 58 (28.4%) were followed-up without surgery. Thirty-four cases (23.2%) had negative results after laporatomy and laporatomy was found unnecessary in 7(4.7%) cases. In- the non-operative group, 5 (8.6%) patients underwent surgery afterwards.Conclusion: We conclude that non-operatiue management may yield benefits in selective cases with penetrating abdominal trauma.

Özet

Amaç: Kesici delici aletlerle batın yaralanması nedeni ile başvuran olgularda acil laparotomi ve non-operatif tedavi uygulanan olguların başvuru sırasındaki klinik özelliklerinin ve sonuçlarının retrospektif olarak değerlendirilmesidir. Yöntem: Hastanemize 1998-2003 tarihleri arasında kesici delici alet ile batın yaralanması nedeni ile başvuran 204 hasta retrospektif olarak incelendi. Başvuru sırasında fizik muayene bulguları ve laboratuar incelemeleri ile acil laparotomiye alınan olgular ve non-operatif tedaviye alınan olgular, klinik sonuçlarına göre araştırıldı. Bulgular: Olguların 146'sına (%71.5) acil laparotomi uygulandı, 58 olgu (%28.4) non-operatif tedavi ile izlendi. Acil laparotomi uygulanan olguların %23.2'sinde (34 olgu) negatif laparotomi, %4.7' sinde (7 olgu) gereksiz laparotomi uygulandığı görüldü. Non-operatif tedavi ile izlenen olguların 5'ine (%8.6) izlem süresi içinde operasyon endikasyonu konuldu. Öpere edilen bu 5 olgunun l'i negatif laparotomi, l'i gereksiz laparotomi olarak değerlendirildi. Sonuç: Seçilmiş olgularda, kesici delici alet ile batın yaralanmalarında non-operatif tedavinin güvenle uygulanabileceği kanısına varılmıştır.

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Cite This Article

ÜNALP, H. R., AKGÜNER, T., KAMER, E., PEŞKERSOY, M., ÖNAL, M. A. (2003). Evaluation of selective non-operative approach to the penetrating stab wounds of the abdomen: A retrospective study. SSK Tepecik Eğitim Hastanesi Dergisi, Cilt: 13 - Sayı: 3, 137–142. https://ajindex.com/articles/312833

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