Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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ABDOMINAL TRAUMA - THERAPEUTIC APPROACH
D. Popa, C. Copotoiu, V. Bud, C. Molnar, A. Pantiru, C. Rosca, M. Gherghinescu,
C. Russu, T. Dudas, B. Suciu, G. Serac, A. Cotovanu, F. Constantinescu, I. Balmos
First Surgical Clinic, Emergency University Hospital Mureş, România
Jurnalul de chirurgie 2011; 7 (1): 38-45
Full text:
Format PDF (Română/Romanian)

Abstract:

Abdominal trauma are a major cause of death and morbidity among population, affecting all age groups. Although not very common, 17-18% of all injuries, identifying major intra-abdominal injuries is difficult, the clinical manifestation of lesions often appears late or masked by the association of other injuries. The two main types of abdominal traumas: bruises or wounds, regarding bodies and various structures, mortality varies between 6-10% according to the affected organ and the associated lesions. This paper studies a group of 820 patients with abdominal traumas hospitalised in First Surgical Clinic of Tg. Mures between 2000-2009, analyzing the mechanisms of production, the methods of diagnosis and treatment, the single or multiple organic damage and their influence on morbidity and  mortality. Most abdominal injuries were simple parietal contusions without intra-abdominal damage 482 cases (58.78%) with a void mortality . Spleen injuries were recorded in 13.05% of the cases, liver injuries in 10%, small bowel in 2.07% , and the overall mortality was 6,59% with ISS 12,41. Ranging from parietal lesions to lesions with immediate fatal potential (trauma of parenchymal organs or vascular structures) or late fatal potential (hollow organs injuries) the decision-making and therapeutic problem in abdominal traumas is a topic of constant debate.

KEY WORDS: ABDOMINAL TRAUMA, INDEX SEVERITY SCORE, MORTALITY

Correspondence to: Dr. Daniel Popa, Assistant Professor, First Surgical Clinic, Emergency University Hospital Mureş, România, Str. Dr. Gh. Marinescu nr. 50, 540136, Tîrgu Mures, Mures, România



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.