Trauma surgery in an acute care hospital
Critical analysis of systematic surgical exploration
Keywords:
wounds and injuries, laparotomyAbstract
Systematic surgical exploration for penetrating
abdominal wounds is considered, in the Maciel
Hospital the Gold standard for diagnosis and therapy.
In order to analyze the rate of unnecessary
surgeries (including among them those that do not
manage to identify lesions, and those that having
identified them, had no therapeutic value), a retrospective
study was conducted on a series of 238 along a period of 2 years and 5 months (October
2001 to March 2004) in the Emergency Service of
Maciel Hospital.
Sharp instrument wounds accounted for 67, of
which 22 (33%) were unnecessary laparotomies.
Of the 59 laparotomies performed in the treatment
of firearm wounds, 11 were unnecessary (18,6%)..
As a conclusion it may be said that systematic
surgical exploration in the group of patients with
penetrating abdomen wounds, particularly those
caused by sharp instruments, are the cause of a
high rate of unnecessary laparotomies
patients, who under went surgery due to trauma,
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