No Detail Found!

The evaluation, management, and outcome about an experience with sharp force abdominal injury

Author(s)
Zhou Xu Department, Shanghai Baoshan District Hospital of Integrated Traditional and Western Medicine, Shanghai, China.
Yunsong Lu Department, Shanghai Baoshan District Hospital of Integrated Traditional and Western Medicine, Shanghai, China.
Heng Li Department, Shanghai Baoshan District Hospital of Integrated Traditional and Western Medicine, Shanghai, China.
Dailiang Peng Department, Shanghai Baoshan District Hospital of Integrated Traditional and Western Medicine, Shanghai, China.
Xuwei Jiang Department, Shanghai Baoshan District Hospital of Integrated Traditional and Western Medicine, Shanghai, China.
Yubin Kou Department, Shanghai Baoshan District Hospital of Integrated Traditional and Western Medicine, Shanghai, China.
Abstract
Background and Objective: Sharp force injuries (SFI), which are inflicted by cuting or stabbing, result in variable outcomes depending upon the nature and site of injury. This study evaluated the cases of SFIs and their outcome with reference to the time of presentation, demographic data, wounded organs, and surgical procedures performed. Methods: This retrospective study analyzed the clinical data of 20 patients who presented with sharp force injury (knife stabbing and penetrating abdominal trauma) and were admietd between April 2015 and November 2016. The management and outcome of patients were recorded. Results: All patients in this study were male and aged between 21 and 30 years. Knife stabbing was the only mechanism of injury in all cases. Colon (50%) was the commonest organ injured followed by intestine (40%) and liver (30%). Mortality rate was 10%. There were two cases with negative laparotomy (10%). Wound sepsis (10%) was the commonest complication. Conclusions: SFI involving abdominal area are managed either conservatively or with primary repair and laparotomy to save internal organs. Early presentation and prompt management leads to reduced chances of complications and mortality.
Publication Details
Page(s) 130-133
Published Journal: Biomedica, Volume: 37, Issue: 2, Year: 2021

Request the full text from PASTIC

Keywords
Abdominal injury, complication, Retrospective, evaluation, Sharp force injury, outcome
References
Kristoffersen S,Normann SA,Morild I,Lilleng PK,Heltne JK .2015 .The hazard of sharp force injuries: factors influencing outcome. J Forensic Leg Med, 10 : 71-7.
Dittrich K,Abu-Zidan FM .2004 .Role of ultrasound in mass-casualty situations. Int J Disaster Med, 2(1) : 18-23.
Bokhari F,Nagy K,Roberts R,Brakenridge S,Smith R,Joseph K .2004 .The ultra-sound screen for penetrating truncal trauma. Am Surg, 70(4) : 316.
Arumugam S,Al-Hassani A,El-Menyar A,Abdelrahman H,Parchani A,Peralta R .2015 .Frequency, causes and pattern of abdominal trauma: a 4-year descriptive analysis. J Emerg Trauma Shock, 8(4) : 166590-2700.
Nishimura T,Sakata H,Yamada T,Terashima M,Shirai K,Yamada I .2017 .Different patterns in abdominal stab wound in the self-inflicted and assaulted patients: an observational analysis of single center experience. Kobe J Med Sci, 63(1) : E17-21.
Buzio M,Bertello A,Bau G,Mao P. .2000 .Ultrasound in trauma (FAST). Minerva Chir, 10832291(1-2) : 89-95.
Yıldız MK,Ozkan E,Odabaşı HM,Eriş C,Günay E,Abuoğlu HH .2014 .Analysis of 120 patients with abdominal stab wound focusing on diagnostic role of fast. Int J Exp Med, 7(5) : 1386-90.
Lingawi SS,Buckley AR .2000 .Focused abdominal US in patients with trauma. Radiology, 217(2) : 426-9.
Mehta N,Babu S,Venugopal K. .2014 .An experience with blunt abdominal trauma: evaluation, management and outcome. Clin Pract, 4(2) : 34-7.
Como JJ,Bokhari F,Chiu WC,Duane TM,Holevar MR,Tandoh MA .2010 .Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma, 68(3) : 721-33.
Siddharth BR,Keerthi MSS,Naidu SB,Venkanna M. .2017 .Penetrating injuries to the abdomen: a single institutional experience with review of literature. Indian J Surg, 79(3) : 196-200.
Karamercan A,Yilmaz TU,Karamercan MA,Aytaç B .2008 .Blunt abdominal trauma: evaluation of diagnostic options and surgical outcomes. Ulus Travma Acil Cerrahi Derg, 14(3) : 205.
Qi X,Tian J,Sun R,Zhang H,Han J,Jin H .2019 .Focused assessment with sonography in trauma for assessment of injury in military settings: a meta-analysis. Balkan Med, 8(1) : 79-8.
Sheng AY,Dalziel P,Liteplo AS,Fagenholz P,Noble VE .2013 .Focused assessment with sonography in trauma and abdominal computed tomography utilization in adult trauma patients: trends over the last decade. Emerg Med Int, : .
Radwan RW,Tang AM,Beasley WD .2017 .Computed tomography as a first-line investigation for elderly patients admitted to a surgical assessment unit. Ann R Coll Surg Engl, 100(4) : 285-9.
Como JJ,Bokhari F,Chiu WC,Duane TM,Holevar MR,Tandoh MA .2010 .Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma Acute Care Surg, 68(3) : 721-33.
Biffl WL,Moore EE,MCC EE .2010 .Management guidelines for penetrating abdominal trauma. Curr Opin Crit Care, 16(6) : 609-17.
Scholz KH,Maier SKG,Maier LS,Lengenfelder B,Jacobshagen C,Jung J .2018 .Impact of treatment delay on mortality in ST-segment elevation myocardial infarction (STEMI) patients presenting with and without haemodynamic instability: results from the German prospective, multicentre FITTSTEMI trial. Eur Heart J, 39(13) : 1065-1074.
0

Citations

0

Downloads

14

Views