2019, Number 2
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Cir Cir 2019; 87 (2)
Abdominal trauma: experience of 4961 cases in Western Mexico
Parra-Romero G, Contreras-Cantero G, Orozco-Guibaldo D, Domínguez-Estrada A, Mercado-Martín del Campo JJ, Bravo-Cuéllar L
Language: Spanish
References: 28
Page: 183-189
PDF size: 212.04 Kb.
ABSTRACT
Introduction: Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected
anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the
abdominal cavity.
Objective: To describe and analyze the sociodemographic profile and injuries found in patients with abdominal
trauma in a western hospital in Mexico.
Method: Consecutive patients included in the local registry GDL-SHOT were
analyzed.
Results: From 4961 patients, 91.4% were men, with a mean age of 28.7 years. Regarding the mechanism of trauma,
39.7% were stab wounds, 33% blunt abdominal trauma and 27.3% gunshots. The most affected organs were: small bowel
(20.9%), liver (18.2%), and colon (14.2%). The mean hospital stay was 6.95 days with a mortality of 6.74%.
Conclusion: In
Mexico, abdominal trauma represents an important cause of morbidity and mortality, especially in young patients. We found
an important amount of penetrating trauma.
REFERENCES
DiMaggio C, Ayoung-Chee P, Shinseki M, Wilson C, Marshall G, Lee DC, et al. Traumatic injury in the United States: in-patient epidemiology 2000- 2011. Injury. 2016;47:1393-403.
Sánchez-Lozada R, Ortiz-González J, Soto-Villagrán R. Lesiones abdominales por trauma: experiencia de dos años en un hospital de tercer nivel. Cir Gen. 2002;24:201-5.
Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1211-59.
Gosselin RA, Spiegel DA, Coughlin R, Zirkle LG. Injuries: the neglected burden in developing countries. Bull World Health Organ. 2009;87:246.
Canseco-Cavazos J, Palacios-Zertuche J, Reyna-Sepúlveda F, Álvarez- Villalobos N, Alatorre-López L, Muñoz-Maldonado G. Epidemiología de las lesiones por proyectil de arma de fuego en el Hospital Universitario “Dr. José Eleuterio González” de la Universidad Autónoma de Nuevo León. Cir Cir. 2017;85:41-8.
Pinedo-Onofre JA, Guevara-Torres L, Sánchez-Aguilar JM. Trauma abdominal penetrante. Cir Cir. 2006;74:431-42.
Instituto Nacional de Estadística, Geografía e Informática. Registros administrativos de mortalidad; 2016. (Consultado el 16 de enero de 2018.) Disponible en: http://www.inegi.org.mx
Leenen LPH. Abdominal trauma: from operative to nonoperative management. Injury. 2009;40 62-8.
Committee on Trauma, American College of Surgeons. Advanced trauma life support for doctors-student course manual. 8th ed. Chicago: American College of Surgeons; 2008.
Brooks A, Simpson JAD. Blunt and penetrating abdominal trauma. Surgery (Oxford). 2009;27:266-71.
Costa G, Tierno SM, Tomassini F, Venturini L, Frezza B, Cancrini G, et al. The epidemiology and clinical evaluation of abdominal trauma. Ann Ital Chir. 2010;81:95-102.
Leite S, Taveira-Gomes A, Sousa H. Visceral injury in abdominal trauma: a retrospective study. Act Med Port. 2013;26:725-30.
Smith J, Caldwell E, Amours SD, Jalaludin B, Sugrue M. Abdominal trauma: a disease in evolution. ANZ J Surg. 2005;75:790-4.
DiMaggio CJ, Avraham JB, Lee DC, Frangos SG, Wall SP. The epidemiology of emergency department trauma discharges in the United States. Acad Emerg Med. 2017;24:1244-56.
Senado-Lara I, Castro-Mendoza A, Palacio-Vélez F, Vargas-Ávila AL. Experiencia en el manejo de abdomen agudo de origen traumático en el Hospital Regional “General Ignacio Zaragoza”. Cir Cir. 2004;72:93-7.
Kruel NF, Oliveira VL, Oliveira VL, Honorato RD, Pinatti BD, Leao FR. Epidemiologic profile of abdominal trauma submitted to laparotomy. Arq Bras Cir Dig. 2007;20:106-10.
Lima SO, Cabral FLD, Neto AFP, Mesquita FNB, Feitosa MFG, Santana VRD. Epidemiological evaluation of abdominal trauma victims submitted to surgical treatment. Rev Col Bras Cir. 2012;39:302-6.
Prachalias AA, Kontis E. Isolated abdominal trauma: diagnosis and clinical management considerations. Curr Opin Crit Care. 2014;20:218-25.
Bordoni PHC, Santos DMMD, Teixeira JS, Bordoni LS. Deaths from abdominal trauma: analysis of 1888 forensic autopsies. Rev Col Bras Cir. 2017;44:582-95.
Barbois S, Abba J, Guigard S, Quesada JL, Pirvu A, Waroquet PA, et al. Management of penetrating abdominal and thoraco-abdominal wounds: a retrospective study of 186 patients. J Visc Surg. 2016;153:69-78.
Prachalias AA, Kontis E. Isolated abdominal trauma: diagnosis and clinical management considerations. Curr Opin Crit Care. 2014;20:218-25.
Como JJ, Bokhari F, Chiu WC, Duane TM, Holevar MR, Tandoh MA, et al. Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma. 2010;68:721-33.
Arumugam S, Al-Hassani A, El-Menyar A, Abdelrahman H, Parchani A, Peralta R, et al. Frequency, causes and pattern of abdominal trauma: a 4 year descriptive analysis. J Emerg Trauma Shock. 2015;8:193-8.
Salimi J, Ghodsi M, Nassaji-Zavvarh M, Khaji A. Hospital management of abdominal trauma in Tehran, Iran: a review of 228 patients. Chin J Traumatol. 2009;12:259-62.
Malik R, Atif I, Rashid F, Abbas M. An analysis of 3105 medico legal cases at a tertiary care hospital, Rawalpindi. Pak J Med Sci. 2017;33:926-30.
Mnguni MN, Muckart DJJ, Madiba TE. Abdominal trauma in Durban, South Africa: factors influencing outcome. Int Surg. 2012;97:161-8.
Helmi I, Hussein A, Ahmed AHA. Abdominal trauma due to road traffic accidents in Qatar. Injury. 2001;32:105-8.
Kong VY, Oosthuizen GV, Clarke DL. The spectrum of injuries resulting from posterior abdominal stab wouds: a South African experience. Ann R Coll Surg Engl. 2015;97:269-73.