Surgical considerations of non-penetrating abdominal injuries

Fitzgerald, John; Crawford, E. Stanley; Bakey, Michael E. De

doi:10.1016/0002-9610(60)90533-x

Cited by 63 publications

(11 citation statements)

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“…Allen et al 2 reported in their series 28% of patient in the age group 20-29 years and 68% were in the age range 10 to 39 years. Fitzgerald et al 3 showed highest incidence (55%) between the ages 21 to 50 years. Male patients (94%) predominated in this series.…”

Section: Discussionmentioning

confidence: 99%

Study of Abdominal Injury: An Analysis of 50 Cases

Siddique

Rahman

Hannan

1970

TAJ: J of Teachers Assoc

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Abdominal injury is an important aspect of trauma because of difficulty in diagnosis and its lethal potential if not properly treated. Fifty cases of abdominal injury admitted in the surgical wards of Rajshahi Medical College Hospital over 2 years have been studied here. All the patients underwent laparotomy for their management. The age range of the patient was 14 to 70 years and most commonly involved age group was 21 to 30 years. Male to female ratio was 15.6:1. The incidence of penetrating injury predominated (64%) over non-penetrating injury and majority had stab injuries. Road traffic accident predominated in blunt injury. Small gut injury outnumbered all other injuries in both groups. Abdominal pain was the most frequent symptom. Most of the patient arrived in the hospital within 24 hours. Considering clinical presentations and results of investigations, decision for laparotomy was taken with prior resuscitation.

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Section: Discussionmentioning

confidence: 99%

Study of Abdominal Injury: An Analysis of 50 Cases

Siddique

Rahman

Hannan

1970

TAJ: J of Teachers Assoc

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“…In the study series of Bross PLO et al 15 , Fitzerald JB et al 7 , Shires GT et al 17 and Mackersie RC et al 11 , all of them showed the predominace of solid organs (spleen, liver) injury following blunt abdominal trauma. Whereas in this study, small intestine injury (53) occupied the top of the list followed by the mesentery (12), liver (9), spleen (7), kidney (4) successively.…”

Section: Discussionmentioning

confidence: 98%

“…Negative laparotomy are not rare in clinical practice, even after DPL, an 8% incident of negative laparotomy has been reported by Miller et al 21 in blunt abdominal trauma. In the study of Crowford ES et al 7 , the survival of the patient was related to the extent of blood loss and varied with the level of blood pressure on admission. All patient died in pre-operative and per-operative period and one patient who died in post-operative period, all had poor hemodynamic condition from the very onset.…”

Section: Discussionmentioning

confidence: 98%

Intra- Abdominal Injuries Following Blunt Abdominal Trauma-Analysis of 100 cases.

Sarker

Perveen

2018

TAJ: J of Teachers Assoc

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With the advent of industrialization, accelerated social violence, increasing road traffic accident and increasing use of machineries trauma has become the leading cause of mortality and disability. Considering trauma abdominal trauma is one where early diagnosis and accurate assessment and timely intervention can save the life of the victim in most of the instances. This is a prospective observational study that represents the experience of 100 consecutive patients of blunt abdominal trauma with suspected intra-abdominal injuries admitted in surgical words of RMCH, Rajshahi. The most of the patients were male (87%) and in active phase of life. RTA (53%) was the most common cause of blunt abdominal trauma and majority of the patients (38%) arrived in the hospital within 7-24 hours. Major clinical signs of intra-abdominal injuries were signs of peritonitis. The main investigation done was plain X-ray abdomen (71%) in erect posture, of which 55% cases showed free gas under the done of the diaphragm. Out of 100 cases 77 patients were operated upon and 23 patients were managed conservatively. The incidence of hollow viscus injury (57%) was higher than solid organs (36%) injury but only five patients came out to be a negative laparotomy. Of all operated cases fifty one were recovered uneventfully and only twenty three patients developed various postoperative complications. The most of the patients (40%) left the hospital within 11-14 days. Seven patients died on the day of admission but total mortality was nine (9%) in number.TAJ 2015; 28(2): 7-14

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“…As a result of this rather aggressive approach six negative laparotomies have been done, but no ill-effects ensued. Fitzgerald, Crawford & deBakey (1960) in a large series included a number of negative laparotomies in similar circumstances, again with no ill effects in any case. It would thus appear that with the negligible risk, diagnostic laparotomy is fully justified.…”

Section: Diagnosismentioning

confidence: 99%

Blunt abdominal trauma treated in an intensive care ward

Arthur

1959

Postgraduate Medical Journal

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Surgical considerations of non-penetrating abdominal injuries

Cited by 63 publications

References 1 publication

Study of Abdominal Injury: An Analysis of 50 Cases

Study of Abdominal Injury: An Analysis of 50 Cases

Intra- Abdominal Injuries Following Blunt Abdominal Trauma-Analysis of 100 cases.

Blunt abdominal trauma treated in an intensive care ward

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