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Modern traumatology uses scoring systems to determine the efficiency of treatment. Surgeons employ a variety of diagnostic modalities for the assessment of blunt abdominal trauma, the choice of the modality depending on the severity of general status of the critically injured patient. Ninety-nine severely injured patients, included in the 3-year Slovenian Society of Trauma Surgeons Protocol of Severely Traumatised, were laparotomised because of blunt abdominal trauma. A retrograde analysis was used to determine the impact of the severity of trauma, as defined by the Revised Trauma Score (RTS)and the Injury severity score (ISS), on the diagnostic modality used to assess blunt abdominal trauma prior to undertaking laparotomy. The average ISS value was statistically significantly lower in patients with a positive ultrasonic diagnosis than in patients with a positive diagnostic peritoneal lavage (p |
