Selective Nonoperative Management of Penetrating Abdominal Injuries in Children

Basit Öğe Kaydı
dc.contributor.authorCigdem, Murat Kemal
dc.contributor.authorOnen, Abdurrahman
dc.contributor.authorSiga, Mesut
dc.contributor.authorOtcu, Selcuk
dc.date.accessioned2024-04-24T17:08:35Z
dc.date.available2024-04-24T17:08:35Z
dc.date.issued2009
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Nonoperative management of solid organ injuries caused by blunt abdominal trauma has been the standard care for many years. However, operative management is considered the standard care for penetrating abdominal trauma by most surgeons. The aim of this study was to assess the feasibility of selective nonoperative management of penetrating abdominal trauma in children. Methods: A total of 90 children suffering from penetrating abdominal trauma between 2003 and 2008 were evaluated. Patients who had hemodynamic instability or signs of bowel perforation underwent an immediate laparotomy. The remaining patients were observed with serial clinical examinations, radiologic evaluation, and hemoglobin level. Results: There were 76 boys and 14 girls. The mean age was 9.9 years (range, 1-16 years). The mechanism of injury was stab Wound in 60 patients (67%) and gunshot in 30 (33%). The most commonly injured organ was bowel (51.7%). Omentum or bowel was eviscerated through wound in seven patients; none of these patients had organ injury. Although 5 1 (56.6%) were treated nonoperatively, 39 patients (43.4%) required Surgical treatment (19 of 60 stab wound, 20 of 30 gunshot). Of the 39 patients who underwent surgery, 6 (15.3%) were found to have no significant organ injury during surgery. Of the all, 51 patients who were initially followed nonoperatively, two patients required surgery. There were two complications. Conclusion: The majority of abdominal stab wound and many gunshot wounds can initially be managed nonoperatively in children, when there is no hemodynamic instability or signs of hollow viscus perforation.en_US
dc.identifier.doi10.1097/TA.0b013e3181bbd932
dc.identifier.endpage1286en_US
dc.identifier.issn0022-5282
dc.identifier.issue6en_US
dc.identifier.pmid20009679
dc.identifier.scopus2-s2.0-73949098578
dc.identifier.scopusqualityN/A
dc.identifier.startpage1284en_US
dc.identifier.urihttps://doi.org/10.1097/TA.0b013e3181bbd932
dc.identifier.urihttps://hdl.handle.net/11468/17392
dc.identifier.volume67en_US
dc.identifier.wosWOS:000272658100031
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Trauma-Injury Infection and Critical Care
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPenetrating Injuryen_US
dc.subjectChildrenen_US
dc.subjectNonoperative Managementen_US
dc.subjectAbdominal Traumaen_US
dc.titleSelective Nonoperative Management of Penetrating Abdominal Injuries in Childrenen_US
dc.titleSelective Nonoperative Management of Penetrating Abdominal Injuries in Children
dc.typeArticleen_US

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