MORBIDITY OF NEGATIVE COELIOTOMY IN TRAUMA

被引：60

作者：

ROSS, SE ^{[1
]}

DRAGON, GM ^{[1
]}

OMALLEY, KF ^{[1
]}

REHM, CG ^{[1
]}

机构：

[1] UNIV MED & DENT NEW JERSEY,COOPER HOSP UNIV MED CTR,ROBERT WOOD JOHNSON MED SCH,CAMDEN,NJ 08103

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1995年 / 26卷 / 06期

关键词：

D O I：

10.1016/0020-1383(95)00058-H

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Exploratory coeliotomy is essential in the care of abdominal trauma, but negative operation has a reported morbidity rate as high as 18 per cent. Ancillary studies such as computerized tomography, diagnostic peritoneal lavage and abdominal ultrasound have improved both sensitivity and specificity of evaluation in blunt and penetrating trauma, thus decreasing the rate of negative coeliotomy. A retrospective study of 50 consecutive negative laparotomies (10.5 per cent of all trauma laparotomies) at our Trauma Center revealed a morbidity rate of 22 per cent and mortality of 6 per cent. Although the negative coeliotomy rate was lower for blunt than penetrating trauma, morbidity was significantly higher for blunt trauma. Extra-abdominal injury alone could not account for this difference. We conclude that negative coeliotomy in penetrating trauma does not carry excessive morbidity. Negative coeliotomy in blunt trauma is accompanied by high morbidity and mortality, so adjunct diagnostic procedures should be utilized in this population in an effort to minimize negative laparotomies.

引用

页码：393 / 394

页数：2

共 9 条

[1]

Weigelt, Kingman, Complications of negative laparotomy for trauma, Am J Surg, 156, (1988)

[2]

Shaftan, Indications for operation in abdominal trauma, Am J Surg, 99, (1960)

[3]

Lowe, Et al., The negative laparotomy for abdominal trauma, J Trauma, 12, (1972)

[4]

Nance, Cohen, Surgical judgement in the management of stab wounds of the abdomen, Ann Surg, 170, (1969)

[5]

Nance, Et al., Surgical judgement in the management of penetrating wounds of the abdomen, Ann Surg, 179, (1974)

[6]

Shah, Et al., Negative laparotomy: mortality and morbidity among 100 patients, Am Surg, 3, (1978)

[7]

Peterson, Sheldon, Morbidity of a negative finding at laparotomy in abdominal trauma, Surg Gynecol Obstet, 148, (1979)

[8]

Rozycki, Et al., Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients, The Journal of Trauma: Injury, Infection, and Critical Care, 35, (1993)

[9]

Ivatury, Et al., A critical evaluation of laparoscopy in penetrating abdominal trauma, J Trauma, 34, (1993)

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