Mesenteric injury after blunt abdominal trauma
| dc.contributor.author | Xeropotamos, N. S. | en |
| dc.contributor.author | Nousias, V. E. | en |
| dc.contributor.author | Ioannou, H. V. | en |
| dc.contributor.author | Kappas, A. M. | en |
| dc.date.accessioned | 2015-11-24T19:04:51Z | |
| dc.date.available | 2015-11-24T19:04:51Z | |
| dc.identifier.issn | 1102-4151 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/20106 | |
| dc.rights | Default Licence | - |
| dc.subject | Abdominal Injuries/*diagnosis/epidemiology/surgery | en |
| dc.subject | Adolescent | en |
| dc.subject | Adult | en |
| dc.subject | Aged | en |
| dc.subject | Aged, 80 and over | en |
| dc.subject | Child | en |
| dc.subject | Child, Preschool | en |
| dc.subject | Comorbidity | en |
| dc.subject | Emergency Treatment/methods | en |
| dc.subject | Female | en |
| dc.subject | Follow-Up Studies | en |
| dc.subject | Greece/epidemiology | en |
| dc.subject | Humans | en |
| dc.subject | Incidence | en |
| dc.subject | Injury Severity Score | en |
| dc.subject | Laparotomy/methods | en |
| dc.subject | Male | en |
| dc.subject | Mesentery/*injuries/surgery | en |
| dc.subject | Middle Aged | en |
| dc.subject | Peritoneal Diseases/*diagnosis/*epidemiology/surgery | en |
| dc.subject | Probability | en |
| dc.subject | Risk Assessment | en |
| dc.subject | Time Factors | en |
| dc.subject | Treatment Outcome | en |
| dc.subject | Wounds, Nonpenetrating/*diagnosis/epidemiology/surgery | en |
| dc.title | Mesenteric injury after blunt abdominal trauma | en |
| heal.abstract | OBJECTIVE: To present our experience of mesenteric injuries after blunt abdominal trauma. DESIGN: Retrospective study. SETTING: University hospital, Greece. SUBJECTS: 31 patients with mesenteric injuries out of 333 who required operations for blunt abdominal trauma between March 1978 and March 1998. 21 were diagnosed within 6 hours (median 160 min, early group) and in 10 the diagnosis was delayed (median 21 hours, range 15 hours-7 days, delayed group). INTERVENTIONS: Emergency laparotomy. MAIN OUTCOME MEASURES: Mortality, morbidity, and hospital stay. RESULTS: There were no deaths. The diagnosis was confirmed by diagnostic peritoneal lavage in 17/21 patients in the early group whereas 7/10 in the delayed group were diagnosed by clinical examination alone. Most of the injuries (n = 23) were caused by road traffic accidents. 30 patients had injured the small bowel mesentery and 4 the large bowel mesentery. 25 of the 31 patients had associated injuries. There were no complications in the early group, compared with 6 wound infections and 1 case of small bowel obstruction in the delayed group (p < 0.0001). Median hospital stay in the early group was 11 days (range 3-24) compared with 23 days (range 10-61) in the delayed group (p = 0.004). CONCLUSION: Because delay in diagnosis is significantly associated with morbidity and duration of hospital stay we recommend that all patients admitted with blunt abdominal trauma should have a diagnostic peritoneal lavage as soon as possible | en |
| heal.access | campus | - |
| heal.fullTextAvailability | TRUE | - |
| heal.identifier.primary | 10.1080/110241501750070547 | - |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/11266248 | - |
| heal.journalName | Eur J Surg | en |
| heal.journalType | peer-reviewed | - |
| heal.language | en | - |
| heal.publicationDate | 2001 | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.type | journalArticle | - |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.type.en | Journal article | en |
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