"DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"

Diagnostic peritoneal lavage (DPL) is considered by many as the most important investigation for the early detection of intraperitoneal injury. The aim of this study is to assess the accuracy of DPL as a diagnostic method in evaluating abdominal trauma. A prospectively maintained database of all DPL...

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Main Author: J. Salimi M. Motamedi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2004-04-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/2702
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author J. Salimi M. Motamedi
author_facet J. Salimi M. Motamedi
author_sort J. Salimi M. Motamedi
collection DOAJ
description Diagnostic peritoneal lavage (DPL) is considered by many as the most important investigation for the early detection of intraperitoneal injury. The aim of this study is to assess the accuracy of DPL as a diagnostic method in evaluating abdominal trauma. A prospectively maintained database of all DPLs performed in the past 36 months at Sina Hospital was analyzed. Information relative to the type of injury, indication for DPL, DPL and laparatomy results were analyzed in order to evaluate the accuracy, sensitivity and specificity of DPL. Over a 36-month period, 111 (13.9%) DPLs were performed for 800 patients with abdominal trauma at Sina Hospital. Fifty-five (49.5%) patients had negative and 56 (50.5%) patients had positive DPL. Among negative results, laparatomies were performed for 5 (9.1%) patients. Among positive results, 47 patients had organ injuries at laparatomy and 6 (11.3%) did not have any organ injuries (false positive). The overall accuracy, sensitivity and specificity of DPL were 87%, 90% and 85%, respectively, that were comparable to the other reports (p
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spelling doaj.art-3b8fc3ceac264e6eaa584747c6c6f35c2022-12-21T19:22:05ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942004-04-01422"DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE" J. Salimi M. Motamedi0 Diagnostic peritoneal lavage (DPL) is considered by many as the most important investigation for the early detection of intraperitoneal injury. The aim of this study is to assess the accuracy of DPL as a diagnostic method in evaluating abdominal trauma. A prospectively maintained database of all DPLs performed in the past 36 months at Sina Hospital was analyzed. Information relative to the type of injury, indication for DPL, DPL and laparatomy results were analyzed in order to evaluate the accuracy, sensitivity and specificity of DPL. Over a 36-month period, 111 (13.9%) DPLs were performed for 800 patients with abdominal trauma at Sina Hospital. Fifty-five (49.5%) patients had negative and 56 (50.5%) patients had positive DPL. Among negative results, laparatomies were performed for 5 (9.1%) patients. Among positive results, 47 patients had organ injuries at laparatomy and 6 (11.3%) did not have any organ injuries (false positive). The overall accuracy, sensitivity and specificity of DPL were 87%, 90% and 85%, respectively, that were comparable to the other reports (phttps://acta.tums.ac.ir/index.php/acta/article/view/2702Diagnostic peritoneal lavageabdominal traumaintestinal injurysolid organ injury
spellingShingle J. Salimi M. Motamedi
"DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"
Acta Medica Iranica
Diagnostic peritoneal lavage
abdominal trauma
intestinal injury
solid organ injury
title "DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"
title_full "DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"
title_fullStr "DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"
title_full_unstemmed "DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"
title_short "DETECTION OF INTRA-ABDOMINAL INJURY IN TRAUMA PATIENTS: OUR EXPERIENCE WITH DIAGNOSTIC PERITONEAL LAVAGE"
title_sort detection of intra abdominal injury in trauma patients our experience with diagnostic peritoneal lavage
topic Diagnostic peritoneal lavage
abdominal trauma
intestinal injury
solid organ injury
url https://acta.tums.ac.ir/index.php/acta/article/view/2702
work_keys_str_mv AT jsalimimmotamedi detectionofintraabdominalinjuryintraumapatientsourexperiencewithdiagnosticperitoneallavage