Abdominal stab wounds in Lagos: A review of fifty cases.
| Autor: | Osinowo AO; Department of Surgery, General Surgery Unit, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Lagos, Nigeria., Olusoji OO; Department of Surgery, Cardiothoracic Surgical Unit, Lagos University Teaching Hospital, Lagos, Nigeria., Adesanya AA; Department of Surgery, General Surgery Unit, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Lagos, Nigeria. |
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| Jazyk: | angličtina |
| Zdroj: | The Nigerian postgraduate medical journal [Niger Postgrad Med J] 2016 Apr-Jun; Vol. 23 (2), pp. 86-92. |
| DOI: | 10.4103/1117-1936.186303 |
| Abstrakt: | Background: The optimum management of patients with abdominal stab wounds (ASWs) is yet to be fully elucidated. Aims and Objectives: To evaluate the pattern of injury, treatment offered and outcome in patients with ASWs seen at our tertiary hospital. Patients and Methods: This was a retrospective descriptive study of patients who sustained ASWs seen from January 2011 to December 2015. Information obtained from case notes were analysed on a personal computer using SPSS version 22 (SPSS Inc., Chicago, IL, USA).P<0.05 was considered statistically significant. Results: Fifty patients who sustained ASWs were included in the study. Forty-four (88%) were males, mean age was 27 years and 50% were between the ages of 21 and 30 years. The wounding weapon in patients was the knife in 26 (52%) and broken bottle in 14 (28%). Our patients presented at the hospital about 3 h after abdominal stabs and surgical intervention time was uniformly prolonged. Forty-eight (96%) patients had emergency laparotomy, whereas two (4%) patients with omental evisceration were treated using the policy of selective non-operative management. The commonly injured organs were stomach (22.9%), small bowel (20.8%), omentum (18.8%), colon (18.8%) and liver (14.6%). The negative laparotomy rate was 31.3%. The knife was a more lethal weapon than broken bottle in our patients (P<0.05). Seven (14%) patients suffered serious post-operative complications and two (4%) died. Conclusion: The high therapeutic laparotomy rates observed in our patients who had generalised peritonitis, evisceration and shock, support the fact that these findings should be indications for immediate laparotomy. |
| Databáze: | MEDLINE |
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