Tamer Ertan1, Yusuf Sevim2, Talha Sarigoz3, Omer Topuz4, Baki Tastan5. 1. Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address: tertan70@hotmail.com. 2. Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address: yusufsevim@gmail.com. 3. Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address: dr.talhasarigoz@yahoo.com. 4. Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address: drotopuz@yahoo.com. 5. Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address: bakitastan@hotmail.com.
Abstract
INTRODUCTION: The study aimed to identify the presence of peritoneal penetration in management of anterior abdominal stab wound by using computed tomography (CT) tractography. MATERIAL AND METHODS: Hemodynamically stabile, CT tractography-performed patients who were admitted to our emergency clinic with anterior abdominal stab wounds between the years 2012 and 2014 were included in this study, and all images were evaluated in terms of peritoneal penetration and possible intra-abdominal injury. RESULTS: In the study CT tractography identified necessity of laparotomy accurately in 90% of the patients, and none of the patients without peritoneal penetration needed surgical treatment in their follow-up. CONCLUSION: The procedure may be used for some selected cases of hemodynamically stable patient with anterior abdominal stab wounds to abstain from local wound exploration.
INTRODUCTION: The study aimed to identify the presence of peritoneal penetration in management of anterior abdominal stab wound by using computed tomography (CT) tractography. MATERIAL AND METHODS: Hemodynamically stabile, CT tractography-performed patients who were admitted to our emergency clinic with anterior abdominal stab wounds between the years 2012 and 2014 were included in this study, and all images were evaluated in terms of peritoneal penetration and possible intra-abdominal injury. RESULTS: In the study CT tractography identified necessity of laparotomy accurately in 90% of the patients, and none of the patients without peritoneal penetration needed surgical treatment in their follow-up. CONCLUSION: The procedure may be used for some selected cases of hemodynamically stable patient with anterior abdominal stab wounds to abstain from local wound exploration.
Authors: K B Yilmaz; M Akinci; S Tamam; S Tokgoz; S Balas; M Akkoca; H Karabacak Journal: Eur J Trauma Emerg Surg Date: 2016-07-22 Impact factor: 3.693