2011
DOI: 10.4314/gmj.v44i3.68893
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Penetrating abdominal injuries in adults seen at two teaching hospitals in Ghana

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Cited by 22 publications
(44 citation statements)
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“…In series where patients with penetrating injuries undergo routine explorative laparotomy, it has been shown that approxi- mately 30-50% of these patients do not actually require treatment (negative laparotomy) (21)(22)(23). In our study, the negative laparotomy rate was 28% and we believe this rate will decrease with more rigorous clinical and laboratory evaluation and perhaps with more effective use of diagnostic laparoscopy.…”
Section: Discussionmentioning
confidence: 49%
“…In series where patients with penetrating injuries undergo routine explorative laparotomy, it has been shown that approxi- mately 30-50% of these patients do not actually require treatment (negative laparotomy) (21)(22)(23). In our study, the negative laparotomy rate was 28% and we believe this rate will decrease with more rigorous clinical and laboratory evaluation and perhaps with more effective use of diagnostic laparoscopy.…”
Section: Discussionmentioning
confidence: 49%
“…Therefore, routine laparotomy has largely been abandoned and more selective conservative treatments have been adopted. [12][13][14][15][16] Selective conservative approach consists of immediate surgery for patients with hemodynamic instability or peritonitis, while remaining patients are followed conservatively and discharged from the hospital 48 hours after admission if no need for surgical intervention is observed. The situation is different for thoracoabdominal region stab wounds.…”
Section: Discussionmentioning
confidence: 99%
“…[8,19,20] Majority of routine laparotomies performed to evaluate the diaphragm in left thoracoabdominal stab injuries may be unnecessary and result in a high rates of morbidity and mortality. [14,15,[21][22][23] Diagnostic laparoscopy is minimally invasive procedure that offers advantage of early detection and treatment of diaphragmatic injuries. [4,[6][7][8]17,21,24,25] Diaphragm injury rates have been reported in range of 10% to 50% in several studies that investigated left thoracoabdominal stab injuries using diagnostic laparoscopy.…”
Section: Discussionmentioning
confidence: 99%
“…1 And the main cause of morbidity is gastrointestinal perforation and peritonitis. 7 Diagnostic modalities which are simply conducted by emergency medicine physicians in abdominal trauma are Focused Abdominal Sonography in Trauma Patient (FAST), CT-scan, and diagnostic peritoneal lavage (DPL). [8][9][10][11][12] Over the past 2 or 3 decades, the use of selective non-operative management has become more common in abdominal penetrating trauma.…”
Section: Introductionmentioning
confidence: 99%
“…3 By reducing the prevalence of infectious diseases during the past few decades, trauma has become an important factor in morbidity and mortality rates. 7 Despite recent progress in imaging techniques such as CT-scan, trauma management still remains a challenge for emergency specialists. 7 Due to increased vehicles on the road and traffic accidents and also increased interpersonal violence as a result of urbanization and industrialization, the prevalence of abdominal trauma has been increased.…”
Section: Introductionmentioning
confidence: 99%