Morbidity of negative coeliotomy in trauma
Exploratory coeliotomy is essential in the care of abdominal trauma, but negative operation has a reported morbidity rate as high as 18 per cent. Ancillary studies such as computerized tomography, diagnostic peritoneal lavage and abdominal ultrasound have improved both sensitivity and specificity of...
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| Veröffentlicht in: | Injury 1995-07, Vol.26 (6), p.393-394 |
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| creator | Ross, S.E. Dragon, G.M. O'Malley, K.F. Rehm, C.G. |
| description | Exploratory coeliotomy is essential in the care of abdominal trauma, but negative operation has a reported morbidity rate as high as 18 per cent. Ancillary studies such as computerized tomography, diagnostic peritoneal lavage and abdominal ultrasound have improved both sensitivity and specificity of evaluation in blunt and penetrating trauma, thus decreasing the rate of negative coeliotomy. A retrospective study of 50 consecutive negative laparotomies (10.5 per cent of all trauma laparotomies) at our Trauma Center revealed a morbidity rate of 22 per cent and mortality of 6 per cent. Although the negative coeliotomy rate was lower for blunt than penetrating trauma, morbidity was significantly higher for blunt trauma. Extra-abdominal injury alone could not account for this difference. We conclude that negative coeliotomy in penetrating trauma does not carry excessive morbidity. Negative coeliotomy in blunt trauma is accompanied by high morbidity and mortality, so adjunct diagnostic procedures should be utilized in this population in an effort to minimize negative laparotomies. |
| doi_str_mv | 10.1016/0020-1383(95)00058-H |
| format | Article |
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Ancillary studies such as computerized tomography, diagnostic peritoneal lavage and abdominal ultrasound have improved both sensitivity and specificity of evaluation in blunt and penetrating trauma, thus decreasing the rate of negative coeliotomy. A retrospective study of 50 consecutive negative laparotomies (10.5 per cent of all trauma laparotomies) at our Trauma Center revealed a morbidity rate of 22 per cent and mortality of 6 per cent. Although the negative coeliotomy rate was lower for blunt than penetrating trauma, morbidity was significantly higher for blunt trauma. Extra-abdominal injury alone could not account for this difference. We conclude that negative coeliotomy in penetrating trauma does not carry excessive morbidity. Negative coeliotomy in blunt trauma is accompanied by high morbidity and mortality, so adjunct diagnostic procedures should be utilized in this population in an effort to minimize negative laparotomies.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/0020-1383(95)00058-H</identifier><identifier>PMID: 7558260</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Abdomen - surgery ; Abdominal Injuries - etiology ; Abdominal Injuries - mortality ; Abdominal Injuries - surgery ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Female ; Humans ; Injuries of the abdomen. Foreign bodies of the digestive system ; Male ; Medical sciences ; Middle Aged ; Traumas. Diseases due to physical agents ; Wounds, Gunshot - mortality ; Wounds, Nonpenetrating - etiology ; Wounds, Nonpenetrating - mortality ; Wounds, Nonpenetrating - surgery ; Wounds, Penetrating - etiology ; Wounds, Penetrating - mortality ; Wounds, Penetrating - surgery ; Wounds, Stab - mortality</subject><ispartof>Injury, 1995-07, Vol.26 (6), p.393-394</ispartof><rights>1995</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-c9333d591a9335c22aca2c1f25d2788cf00d2e2f12cac460a388a90b2a578ae3</citedby><cites>FETCH-LOGICAL-c386t-c9333d591a9335c22aca2c1f25d2788cf00d2e2f12cac460a388a90b2a578ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0020-1383(95)00058-H$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3625532$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7558260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ross, S.E.</creatorcontrib><creatorcontrib>Dragon, G.M.</creatorcontrib><creatorcontrib>O'Malley, K.F.</creatorcontrib><creatorcontrib>Rehm, C.G.</creatorcontrib><title>Morbidity of negative coeliotomy in trauma</title><title>Injury</title><addtitle>Injury</addtitle><description>Exploratory coeliotomy is essential in the care of abdominal trauma, but negative operation has a reported morbidity rate as high as 18 per cent. Ancillary studies such as computerized tomography, diagnostic peritoneal lavage and abdominal ultrasound have improved both sensitivity and specificity of evaluation in blunt and penetrating trauma, thus decreasing the rate of negative coeliotomy. A retrospective study of 50 consecutive negative laparotomies (10.5 per cent of all trauma laparotomies) at our Trauma Center revealed a morbidity rate of 22 per cent and mortality of 6 per cent. Although the negative coeliotomy rate was lower for blunt than penetrating trauma, morbidity was significantly higher for blunt trauma. Extra-abdominal injury alone could not account for this difference. We conclude that negative coeliotomy in penetrating trauma does not carry excessive morbidity. Negative coeliotomy in blunt trauma is accompanied by high morbidity and mortality, so adjunct diagnostic procedures should be utilized in this population in an effort to minimize negative laparotomies.</description><subject>Abdomen - surgery</subject><subject>Abdominal Injuries - etiology</subject><subject>Abdominal Injuries - mortality</subject><subject>Abdominal Injuries - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the abdomen. Foreign bodies of the digestive system</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds, Gunshot - mortality</subject><subject>Wounds, Nonpenetrating - etiology</subject><subject>Wounds, Nonpenetrating - mortality</subject><subject>Wounds, Nonpenetrating - surgery</subject><subject>Wounds, Penetrating - etiology</subject><subject>Wounds, Penetrating - mortality</subject><subject>Wounds, Penetrating - surgery</subject><subject>Wounds, Stab - mortality</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kNFLwzAQxoMoc07_A4U-iKhQvSRLk74IMtQJE1_2Hm5pKpG2mUk72H9v68YefbqD-9333X2EXFJ4oECzRwAGKeWK3-biDgCESudHZEyVzFNgmTwm4wNySs5i_AagEjgfkZEUQrEMxuT-w4eVK1y7TXyZNPYLW7exifG2cr719TZxTdIG7Go8JyclVtFe7OuELF9flrN5uvh8e589L1LDVdamJuecFyKn2DfCMIYGmaElEwWTSpkSoGCWlZQZNNMMkCuFOawYCqnQ8gm52cmug__pbGx17aKxVYWN9V3UUgqeMcp6cLoDTfAxBlvqdXA1hq2moIeE9PC-Ht7XudB_Cel5v3a11-9WtS0OS_tI-vn1fo7RYFUGbIyLB6z3FoIP7k87zPZRbJwNOhpnG2MLF6xpdeHd_3f8Aq3NgEY</recordid><startdate>19950701</startdate><enddate>19950701</enddate><creator>Ross, S.E.</creator><creator>Dragon, G.M.</creator><creator>O'Malley, K.F.</creator><creator>Rehm, C.G.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950701</creationdate><title>Morbidity of negative coeliotomy in trauma</title><author>Ross, S.E. ; Dragon, G.M. ; O'Malley, K.F. ; Rehm, C.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-c9333d591a9335c22aca2c1f25d2788cf00d2e2f12cac460a388a90b2a578ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Abdomen - surgery</topic><topic>Abdominal Injuries - etiology</topic><topic>Abdominal Injuries - mortality</topic><topic>Abdominal Injuries - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the abdomen. Foreign bodies of the digestive system</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Gunshot - mortality</topic><topic>Wounds, Nonpenetrating - etiology</topic><topic>Wounds, Nonpenetrating - mortality</topic><topic>Wounds, Nonpenetrating - surgery</topic><topic>Wounds, Penetrating - etiology</topic><topic>Wounds, Penetrating - mortality</topic><topic>Wounds, Penetrating - surgery</topic><topic>Wounds, Stab - mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ross, S.E.</creatorcontrib><creatorcontrib>Dragon, G.M.</creatorcontrib><creatorcontrib>O'Malley, K.F.</creatorcontrib><creatorcontrib>Rehm, C.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ross, S.E.</au><au>Dragon, G.M.</au><au>O'Malley, K.F.</au><au>Rehm, C.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morbidity of negative coeliotomy in trauma</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>1995-07-01</date><risdate>1995</risdate><volume>26</volume><issue>6</issue><spage>393</spage><epage>394</epage><pages>393-394</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>Exploratory coeliotomy is essential in the care of abdominal trauma, but negative operation has a reported morbidity rate as high as 18 per cent. Ancillary studies such as computerized tomography, diagnostic peritoneal lavage and abdominal ultrasound have improved both sensitivity and specificity of evaluation in blunt and penetrating trauma, thus decreasing the rate of negative coeliotomy. A retrospective study of 50 consecutive negative laparotomies (10.5 per cent of all trauma laparotomies) at our Trauma Center revealed a morbidity rate of 22 per cent and mortality of 6 per cent. Although the negative coeliotomy rate was lower for blunt than penetrating trauma, morbidity was significantly higher for blunt trauma. Extra-abdominal injury alone could not account for this difference. We conclude that negative coeliotomy in penetrating trauma does not carry excessive morbidity. Negative coeliotomy in blunt trauma is accompanied by high morbidity and mortality, so adjunct diagnostic procedures should be utilized in this population in an effort to minimize negative laparotomies.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>7558260</pmid><doi>10.1016/0020-1383(95)00058-H</doi><tpages>2</tpages></addata></record> |
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| subjects | Abdomen - surgery Abdominal Injuries - etiology Abdominal Injuries - mortality Abdominal Injuries - surgery Adolescent Adult Aged Biological and medical sciences Female Humans Injuries of the abdomen. Foreign bodies of the digestive system Male Medical sciences Middle Aged Traumas. Diseases due to physical agents Wounds, Gunshot - mortality Wounds, Nonpenetrating - etiology Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - surgery Wounds, Penetrating - etiology Wounds, Penetrating - mortality Wounds, Penetrating - surgery Wounds, Stab - mortality |
| title | Morbidity of negative coeliotomy in trauma |
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