Penetratıng Stab Wounds To The Abdominal Wall: Retrospective Analysıs Of 131 Cases: Could Unnecessary Laparotomies Be Reduced?

Üstüner, Mehmet Akif; İlhan, Enver; Yıldırım, M. Zeki; Aykaş, Ahmet; Şenlikçi, Abdullah; Değerli, Vermi; Güngör, Hilmi

doi:10.5222/terh.2015.143

Cited by 2 publications

(6 citation statements)

References 23 publications

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“…15 Üstüner and his colleagues found in their study that the most common affected site was the anterior abdominal wall (80% of cases) especially around umbilicus (25.8% of these cases) which was in agreement with our results. 17 Üstüner and his colleagues found in their study that the anemia was present in 11.1% of patients of penetrating abdominal wound which was disagree with our results. 17 Osinowo and his colleagues, found in their study that vital signs were affected in only 1% of cases while the remaining cases hemodynamically stable which was in agreement with our results.…”

Section: Discussioncontrasting

confidence: 99%

“…17 Üstüner and his colleagues found in their study that the anemia was present in 11.1% of patients of penetrating abdominal wound which was disagree with our results. 17 Osinowo and his colleagues, found in their study that vital signs were affected in only 1% of cases while the remaining cases hemodynamically stable which was in agreement with our results. 10 Üstüner and his colleagues found in their study that the hypotension, tachycardia, and tachypnea were seen in 11.1%, 6.7% and 4.4% patients which was in agreement with our results.…”

Section: Discussioncontrasting

confidence: 99%

“…15 Üstüner and his colleagues found in their study that ultrasonography have positive findings were found in 12.1% of the patients with penetrating abdominal wounds with a rate of positivity as 4.5% in patients in which abdominal tomography was performed which run in line with our results. 17 Ramya and Jayasree, found in their study that the incidence of laparotomy was 84.3% of their cases of penetrating abdominal injuries with average hospital stay 1-29 days with a mean of 8 days and a mortality rate of 5.2% which was disagree with our results. 12 Bennett and his colleagues, (2016), concluded in their study that conservative management in penetrating abdominal trauma in selected patients is a safe strategy results in reduction in the length of stay in ICU/trauma unit with no mortality reported in their cases which was inagreement with our results.…”

Section: Discussioncontrasting

confidence: 98%

“…10 Üstüner and his colleagues found in their study that the hypotension, tachycardia, and tachypnea were seen in 11.1%, 6.7% and 4.4% patients which was in agreement with our results. 17 Ramya and Jayasree, found in their study that Erect films was not a reliable method for operative interference and give false results in 55.2% of cases and because of this they didn't take it as a sure method for intervention and this was in agreement with our results. 12 Al-Ozaibi and his colleagues documented in their study that a positive FAST (focused assessment with sonography for trauma) scan was helpful in the diagnosis of penetration but was poor in identifying injuries that required intervention.…”

Section: Discussionsupporting

confidence: 90%

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Conservative management of penetrating abdominal trauma (stab wound)

et al. 2019

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Background: The aim of the study is to study the reliability of selective conservative management of the penetrating stab abdominal wounds. Trauma is one of the most important reasons of mortality. The mechanism that underlies the penetrating trauma relates to the mode of injury. The early diagnosis of hollow viscus injuries is difficult and a delay in the diagnosis of such injuries may be associated with increased morbidity and mortality. Focused assessment with sonography for trauma (FAST) is an effective for screening and initial classification of stable patients and confirmed by CT scan. The management of stable patients was either surgical exploration or selective non-operative interference with the optimal management of patients is yet to be fully elucidated for abdominal stab wounds (ASW).Methods: A prospective study of 40 patients with penetrating abdominal stab wounds between June 2017 and February 2018, at Damanhour Medical National Institute.Results: The mean age of our patients was 51.9±13.3 years with predominance of males and without predominance of any side to be affected and non-significant deviation from the normal values of hemodynamic signs. The presence of air under diaphragm in X-ray films signify abdominal penetration and ultrasonographic examination (FAST) document the diagnosis and help in following up of cases. Most of hemodynamically stable patients passed conservatively with a little rate of laparotomy.Conclusions: We concluded that there is still a role for conservative management in managing stable cases of penetrating stab abdominal wound.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 98%

Section: Discussionsupporting

confidence: 90%

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Conservative management of penetrating abdominal trauma (stab wound)

et al. 2019

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“…Nowadays, PSOIs occur with the use of different objects in our country and around the world. According to the study conducted by Üstüner et al, 4 PSOIs are usually performed by young men (16-35 years old), most often in summer, during may and between 12.00-04.00 a.m. Among these injuries, gluteal injuries are the third most common injuries following thoracic and abdominal injuries.…”

Section: Discussionmentioning

confidence: 99%

Penetrating Sharp Object Injury in the Gluteal Region and Small Bowel Perforation Due to Pelvic Penetration: A Case Report

Yüksel¹,

Üstüner²,

Karayiğit³

et al. 2019

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98 IntroductionThe gluteal region is anatomically located between iliac wings, inferior gluteal folds and bilateral greater trochanter. 1 Penetrating sharp object injuries (PSOIs) in the gluteal region are rare and constitute 2-3% of all injuries. 2 These injuries generally do not pose serious health problems. However, visceral and vascular injuries leading to life-threatening events can be observed in one-quarter of the cases. 3 To the best of our knowledge, little research has been conducted on visceral and vascular injuries in the gluteal region. In this study, we present a case of small bowel perforation arising from an injury in the gluteal region. We hope our study will bring more interest to the subject and contribute to the scarce literature. Case ReportA 24-year-old male patient was admitted to the Emergency Department of Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital with a PSOI in the gluteal region. Physical examination of the patient revealed 1 cm incision in the superior zone of the left gluteal region at 10 o'clock and eviscerated gangrenous ileum loop in the superior zone of the right gluteal region at 9 o'clock ( Figure 1). The vitals were stable. A urinary bladder catheter was inserted and ÖZ Gluteal bölgedeki kesici delici alet yaralanmaları sık görülmektedir. Ancak bu yaralanmaların pelvise penetrasyon göstererek ince barsak perforasyonuna sebep olması çok nadirdir. Penetrasyon derinliği arttıkça, yaralanma yerinin lokalizasyonuna bağlı olarak vasküler yaralanma, barsak yaralanması, genitoüriner yaralanma gibi hayatı tehdit eden yaralanmalar olabilir. Bu olgu sunumunda hastaneye gluteal bölgeye kesici delici alet yaralanmasıyla başvuran olgumuzu sunduk. Anahtar Kelimeler: Kesici delici alet yaralanması, gluteal bölge, ince barsak perferasyonu Penetrating sharp object injuries in the gluteal region are common. However, it is very rare that these injuries lead to perforation of the small bowel by pelvic penetration, which is generally overlooked. As penetration depth increases, there may be life-threatening injuries such as vascular injury, bowel injury and genitourinary injury depending on the localization of injury site. The case report addressed in the present research focuses on a patient who was admitted to the hospital because of a penetrating sharp object injury in the gluteal region.

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Penetratıng Stab Wounds To The Abdominal Wall: Retrospective Analysıs Of 131 Cases: Could Unnecessary Laparotomies Be Reduced?

Cited by 2 publications

References 23 publications

Conservative management of penetrating abdominal trauma (stab wound)

Conservative management of penetrating abdominal trauma (stab wound)

Penetrating Sharp Object Injury in the Gluteal Region and Small Bowel Perforation Due to Pelvic Penetration: A Case Report

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