Evaluation of selective behavior in the management of abdominal trauma
Main Article Content
The medical records of 364 patients who underwent surgery for abdominal trauma at the Hospital Universitario del Valle in 1983 were analyzed. Males constituted 88.5% of the cases, and 79.7% of the patients were between 15 and 44 years of age. Open abdominal trauma was found in 78% of the histories; in the rest, there was blunt trauma. A sharp weapon produced open trauma in 66.6% and a bullet in 32%. The clinical assessment of the abdomen was positive in 58% of the cases, doubtful in 21.2%, and negative in 18.4%.
The wound was explored locally in 11.6% of the patients; 66 abdominal punctures and 13 peritoneal washings were performed, contrasting with other hospital centers that use peritoneal lavage as the primary diagnostic method in cases of doubtful abdomen. Negative laparotomy rates were 15.1% in blunt trauma, 10.6% in gunshot wounds, and 3.7% in blunt trauma. The sensitivity of the clinical assessment was 83.2%, with a specificity of 89.3%; false positives, 10.7%; and false negatives, 16.8%. The most frequent complication was wound infection. The overall mortality rate was 9.1%.
Downloads
- Abraham Kestenberg, Clara Elena Duarte, Diagnóstico y tratamiento del absceso-fístula anal. , Colombia Medica: Vol. 22 No. 2 (1991)
- José Humberto Arango, Gustavo Mariño, Abraham Kestenberg, Nuevos esteroides en enfermedad inflamatoria intestinal: uso de la budesonida. , Colombia Medica: Vol. 29 No. 1 (1998)
- Clara Elena Duarte, Abraham Kestenberg, Carcinoma hereditario no polipoideo de colon. Síndrome de Lynch. Informe de un caso y revisión de la literatura. , Colombia Medica: Vol. 22 No. 1 (1991)
- Abraham Kestenberg, Ricardo Ferrada, Armando Vernaza, Alberto Cortés, Manejo selectivo vs. Laparotomía rutinaria en herida torácica penetrante al abdomen. , Colombia Medica: Vol. 14 No. 2,3 (1983)
- John Fredy Vallejo, José Humberto Arango, Jesús Arbey Hoyos, Abraham Kestenberg, Tratamiento con dilataciones de las estenosis rectales secundarias a cirugía y radioterapia. , Colombia Medica: Vol. 29 No. 1 (1998)
- Carlos Chamorro - Mera, Abraham Kestenberg, El caso radiológico , Colombia Medica: Vol. 14 No. 2,3 (1983)
- Alcibíades Hernández, Armando Gonzáles, Abraham Kestenberg, Edilberto Gómez, Colon trauma: analysis of the medical records of 165 patients at the Hospital Universitario del Valle, Cali, Colombia , Colombia Medica: Vol. 19 No. 3 (1988)
- Olga Lucía Rojas, Armando Gonzáles, Edilberto Gómez, Edgar Torres, Acute appendicitis - diagnosis and treatment , Colombia Medica: Vol. 18 No. 4 (1987)
- Gustavo A. Peláez, Armando Gonzáles, Edgar Torres, Edilberto Gómez, Diagnosis and treatment of mechanical bowel obstruction , Colombia Medica: Vol. 20 No. 1 (1989)
- Armando Gonzáles, Rita Iglesias, Amanda Galarza, Edilberto Gómez, Olga Lucía Rojas, Edgar Torres, Diagnosis and treatment of intra-abdominal sepsis: a study of 240 patients at the Hospital Universitario del Valle, Cali , Colombia Medica: Vol. 18 No. 3 (1987)
Similar Articles
- Carlos Alberto Ordoñez, Michael Parra, Mauricio Millan, Yaset Caicedo, Monica Guzman, Natalia Padilla, Juan Carlos Salamea, Alberto Garcia, Adolfo Gonzalez, Luis Fernando Pino, Mario Alain Herrera, Fernando Rodriguez, Jose Julian Serna, Alexander Salcedo, Gonzalo Aristizabal, Claudia Patricia Orlas, Ricardo Ferrada, Thomas Scalea, Rao Ivatury, Damage Control in Penetrating Liver Trauma: Fear of the Unknown , Colombia Medica: Vol. 51 No. 4 (2020): Damage Control Surgery (I)
- Alberto Garcia, Mauricio Millan, Daniela Burbano, Carlos Alberto Ordoñez, Michael w Parra, Adolfo González-Hadad, Mario Alain Herrera, Luis Fernando Pino, Fernando Rodríguez-Holguín, Alexander Salcedo, Maria Josefa Franco, Ricardo Ferrada, Juan Carlos Puyana, Damage control in abdominal vascular trauma , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Fernando Rodríguez-Holguín, Adolfo González-Hadad, David Mejia, Cecibel Ceballos, Amber Nicole Himmler, Yaset Caicedo, Alexander Salcedo, Jose Julian Serna, Mario Alaín Herrera, Luis Fernando Pino, Michael Parra, Carlos Alberto Ordoñez, Abdominal and thoracic wall closure: damage control surgery’s cinderella , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Alexander Salcedo, Carlos Alberto Ordoñez, Michael W Parra, José Daniel Osorio, Mónica Guzmán-Rodríguez, Luis Fernando Pino, Mario Alain Herrera, Adolfo González-Hadad, José Julian Serna, Alberto Garcia, Federico Coccolini, Fausto Catena, Damage control for renal trauma: the more conservative the surgeon, better for the kidney , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Carlos Alberto Ordoñez, Michael Parra, Yaset Caicedo, Natalia Padilla, Edison Angamarca, Jose Julian Serna, Fernando Rodriguez, Alberto Garcia, Alexander Salcedo, Luis Fernando Pino, Adolfo Gonzalez Hadad, Mario Alain Herrera, Laureano Quintero, Fabian Hernandez, Maria Josefa Franco, Gonzalo Aristizabal, Luis Eduardo Toro, Monica Guzman, Federico Coccolini, Ricardo Ferrada, Rao Ivatury, Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Alberto Garcia, Mauricio Millan, Carlos Alberto Ordoñez, Daniela Burbano, Michael W Parra, Yaset Caicedo, Adolfo González-Hadad, Mario Alain Herrera, Luis Fernando Pino, Fernando Rodríguez-Holguín, Alexander Salcedo, Maria Josefa Franco, Ricardo Ferrada, Juan Carlos Puyana, Damage control surgery in lung trauma , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Carlos Serna, José Julian Serna, Yaset Caicedo, Natalia Padilla, Linda M Gallego, Alexander Salcedo, Fernando Rodríguez-Holguín, Adolfo González-Hadad, Alberto Garcia, Mario Alain Herrera, Michael W Parra, Carlos Alberto Ordoñez, Damage control surgery for splenic trauma: "preserve an organ - preserve a life" , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- David Mejia, Salin Pereira-Warr, Carlos Andres Delgado-Lopez, Alexander Salcedo, Fernando Rodriguez-Holguín, Jose Julian Serna, Yaset Caicedo, Luis Fernando Pino, Adolfo Gonzalez Hadad, Mario Alaín Herrera, Michael W Parra, Alberto García, Carlos Alberto Ordoñez, Reinterventions after damage control surgery , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Carlos Alberto Ordoñez, Michael Parra, Mauricio Millan, Yaset Caicedo, Natalia Padilla, Alberto Garcia, Maria Josefa Franco, Gonzalo Aristizabal, Luis Eduardo Toro, Luis Fernando Pino, Adolfo Gonzalez-Hadad, Mario Alain Herrera, Jose Julian Serna, Fernando Rodriguez, Alexander Salcedo, Claudia Patricia Orlas, Monica Guzman, Fabian Hernandez, Ricardo Ferrada, Rao Ivatury, Damage control in penetrating duodenal trauma: less is better , Colombia Medica: Vol. 52 No. 2 (2021): Damage Control Surgery (II)
- Carlos Alberto Ordoñez, Michael Parra, Mauricio Millan, Yaset Caicedo, Natalia Padilla, Alberto Garcia, Adolfo Gonzalez Hadad, Luis Fernando Pino, Fernando Rodríguez-Holguín, Jose Julian Serna, Alexander Salcedo, Ricardo Ferrada, Fernando Miñan-Arana, Rao Ivatury, Mónica Guzmán, Pancreatic Damage Control: The Pancreas is Simple Don’t Complicate It , Colombia Medica: Vol. 51 No. 4 (2020): Damage Control Surgery (I)
You may also start an advanced similarity search for this article.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use