Basilio OA, Olguín LA, Delgadillo GS, López CÓ

Language: Spanish
References: 15
Page: 5-9
PDF size: 82.24 Kb.

ABSTRACT

Trauma is the third cause of death on the World, it affects in young adults in their major productivity life time. The faster cars, the increase of public violence, the social development that goes hand by hand to abdominal trauma on which we face. Nowadays sometimes is accepted that the total treatment of some lesions can be on stages, but is important to open our mind to reintervention without planing and is important too to know the secondary morbimortality that is carries, in both procedures. We studied 41 patients that were reinterviewed in a period of 18 months between january 1st 2000 at june 30 2001. A total of 850 laparotomies for abdominal trauma, the most common cause was the automovilistic injuries, related to open trauma, the male gender was the most affected talking about fire gun shoot wound. The first surgical intervention on 56% of patients last´s between 1-3 hours. We classified the surgical reintervention in planned and no planned immediately and latest. Our findings were, without lesion or uncontrollable bleeding 48.7%, bleeding 17%, abscess 12.1%. In 90% of patients the surgical reintervention was justified unless we didn´t find positive signs. The AIRS, was the most common complication, on 29.2% followed by sepsis in 24.6%. We had a general mortality for surgical reintervention of 26.8% with 73.1% of patients alive.

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