Published September 16, 2022 | Version v1
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Challenges in the Management of Penetrating Abdominal Trauma, Predictive Factors.

Creators

  • 1. Department of Surgery, Faculty of Medicine, University of Medicine, Tirana Albania
  • 2. The State University of Tetovo, RN of Macedonia
  • 3. University Hospital of Trauma. Tirana, Albania.
  • 4. Department of Imagery, Faculty of Medicine, University of Medicine, Tirana Albania

Description

Abstract

Introduction: Nowadays, penetrating trauma is increasing because of the growth of violence in our society. The penetrating injury constitutes about 6% of the hospitalized cases and 10% of visits to the emergency department; they are calculated to be the second leading cause of death after motor vehicle accidents and accounts for 20% of deaths related to injuries in the USA.[1]
P.A.T.I. score stands for Penetrating Abdominal Trauma Index score [1, 2]. When developed in 1981 by Moore and colleagues, the Penetrating Abdominal Trauma Index was used to identify trauma patients at risk of postoperative complications [1].                                                                                                                                                               Materials and Methods: To carry out our study, we standardized the registration of trauma patients who were presented to the University Hospital of Trauma in Tirana, Albania, with penetrating abdominal Injury for some time from January 2019 to July 2019.
Results: Data were collected from the trauma registry of the University Hospital of Trauma, where 22,875 patients (71.4%) with a trauma diagnosis out of a total of 32,037 patients were admitted to the emergency department.   A total of 510 patients were selected based on specific inclusion criteria, and among them, patients with abdominal injuries were further identified. Of these, 102 patients were recorded with Penetrating Abdominal Trauma
Conclusion: Management of Penetrating Abdominal Trauma remains a serious issue in the emergency department. The outcome of treatment depends on the Presence of shock on admission, the Mechanism of injury, Age, the Number of injuries to organs, and Associations with extra-abdominal injuries… The principle of guiding surgical management based on a good clinical exam, appropriate imaging tests…OM remains the main approach in the treatment of Penetrating Abdominal Trauma …

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References

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  • Dogjani A et al. Assessment, treatment and results in Penetrating abdominal trauma. A retrospective study of 102 cases. April 2016 DOI: 10.13140/RG.2.2.18837.83684 Conference: ECTES 2016 - 17th European Congress of Trauma and Emergency Surgery, April 24 – 26, 2016 Reed Messe Wien, Congress Center Vienna, Austria, Eur J Trauma Emerg Surg (2016) 42 (Suppl 2):S9–S245