Abdominal stab wounds in children: An 18-year experience

Basit Öğe Kaydı
dc.contributor.authorÖztürk, Hayrettin
dc.contributor.authorÖnen, Abdurrahman
dc.contributor.authorOtçu, Selçuk
dc.contributor.authorDokucu, Ali İhsan
dc.contributor.authorYaǧmur, Yusuf
dc.contributor.authorGedik, Şenol
dc.date.accessioned2024-04-24T17:56:04Z
dc.date.available2024-04-24T17:56:04Z
dc.date.issued2002
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractObjective: Evaluation of the diagnosis, management, and the role of selective treatment in children with abdominal stab wounds. Patients and Methods: 59 children (56 male and three female) were included in the study. The patients' median age was 11.8 years (range, 5-14 years). Time between injury and admission was about 3 h. Laparotomy was performed in 44 patients (74%). Solid organ injury was detected in 32 of these patients (73%) and could not be observed in twelve (27%). 15 patients (26%) were treated conservatively, and only one (6.6%) underwent laparotomy during the follow-up. The stomach was the most frequently injured organ (ten patients), followed by the intestines (nine patients). Types of surgical treatment were as follows: primary suture in 28 patients, resection-anastomosis in three, and osteotomy in two. Results: Some prognostic factors such as presence of abdominal organ evisceration and pneumoperitoneum were not significantly correlated with intraabdominal organ injury, whereas some other risk factors such as acute abdomen on admission (p < 0.002) or abnormal clinical and hemodynamic finding (p < 0.001) showed significant correlation with intraabdominal organ injury. The relative risk (odds ratio) of developing an intraabdominal organ injury was > 2 for patients with signs of an acute abdomen on admission. Postoperative complications were observed in five patients with organ injuries. None of our patients died. Conclusions: Conservative treatment can be safely performed in most children with abdominal stab injuries. Signs of major internal hemorrhage or generalized peritonitis are an absolute indication for emergency operation for abdominal stab wounds. Peritoneal penetrations, free air on the abdominal X-ray, and omental or intestinal evisceration are poor indicators of significant organ injuries, and patients presenting these signs should be closely followed up for developing acute abdominal symptoms.en_US
dc.identifier.citationÖztürk, H., Önen, A., Otçu, S., Dokucu, A. İ., Yaǧmur, Y. ve Gedik, Ş. (2002). Abdominal stab wounds in children: An 18-year experience. European Journal of Trauma, 28(2), 85-89.
dc.identifier.doi10.1007/s00068-002-1186-z
dc.identifier.endpage89en_US
dc.identifier.issn1439-0590
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-0036235111
dc.identifier.scopusqualityN/A
dc.identifier.startpage85en_US
dc.identifier.urihttps://doi.org/10.1007/s00068-002-1186-z
dc.identifier.urihttps://hdl.handle.net/11468/23249
dc.identifier.urihttps://link.springer.com/article/10.1007/s00068-002-1186-z
dc.identifier.volume28en_US
dc.indekslendigikaynakScopus
dc.institutionauthorÖztürk, Hayrettin
dc.institutionauthorÖnen, Abdurrahman
dc.institutionauthorOtçu, Selçuk
dc.institutionauthorDokucu, Ali İhsan
dc.institutionauthorYaǧmur, Yusuf
dc.institutionauthorGedik, Şenol
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Trauma
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal Stab Woundsen_US
dc.subjectChilden_US
dc.subjectLaparotomyen_US
dc.subjectTraumaen_US
dc.titleAbdominal stab wounds in children: An 18-year experienceen_US
dc.titleAbdominal stab wounds in children: An 18-year experience
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
Abdominal stab wounds in children An 18-year experience.pdf
Boyut:
81.6 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Makale Dosyası
İndir

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu