Impact of Genitourinary Injuries on Patients Requiring an Emergency Laparotomy for Trauma

Impact of Genitourinary Injuries on Patients Requiring an Emergency Laparotomy for Trauma

Introduction In patients having emergency abdominal surgery for trauma, the presence of urologic injury tends to increase mortality and morbidity. Methods This retrospective study evaluated patients requiring emergency surgery for abdominal trauma at a Level 1 Trauma Center over 30 years (1980-2010)...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2020-01, Vol.12 (1), p.e6826-e6826
Hauptverfasser: Zimmerman, W Britt, Baylor, 3rd, Alfred E, Hall Zimmerman, Lisa, Dolman, Heather, Ciullo, Jeremy R, Dornbush, Jessica, Isaacson, Andrew R, Mansour, Roozbeh, Wilson, Robert F, Tyburski, James G
Format: Artikel
Sprache:eng
Schlagworte:
Abdomen
Bladder
Blood pressure
Coronary vessels
Firearms
General Surgery
Injuries
Kidneys
Liver
Mortality
Pancreas
Spleen
Surgery
Trauma
Urology
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Zusammenfassung:Introduction In patients having emergency abdominal surgery for trauma, the presence of urologic injury tends to increase mortality and morbidity. Methods This retrospective study evaluated patients requiring emergency surgery for abdominal trauma at a Level 1 Trauma Center over 30 years (1980-2010). Special attention was given to patients with concomitant genitourinary (GU) injuries. Results Of 1105 patients requiring an emergency laparotomy for trauma, 242 (22%) had urologic injuries including kidney 178 (16%), ureter 47 (4%), and bladder 46 (4%). Of the 242 patients, 50 (20%) died early (
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.6826