Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries
Aim: As a result of improvements in resuscitation and surgical techniques, advances in antibiotic treatment and development of monitoring equipments, selective non-operative treatment (SNOT) has emerged as an important development in the management of penetrating abdominal injuries. If patients...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2012-09-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/article_4667/Effectiveness-Of-Selective-Non-operative-Treatment-In-Penetrating-Abdominal-Injuries |
| _version_ | 1797910783938527232 |
|---|---|
| author | Tamer Karşıdağ Sefa Tüzün |
| author_facet | Tamer Karşıdağ Sefa Tüzün |
| author_sort | Tamer Karşıdağ |
| collection | DOAJ |
| description | Aim: As a result of improvements in resuscitation and surgical
techniques, advances in antibiotic treatment and development of
monitoring equipments, selective non-operative treatment (SNOT) has
emerged as an important development in the management of
penetrating abdominal injuries. If patients do not need the operation,
the ability to treat them without surgical intervention is not only
scientifically correct but also necessary in terms of ethics.
Methods: During the study period, hemodynamically stable 133
patients with penetrating injuries to the anterior and posterior
abdomen and without indication for laparotomy were followed and
treated with SNOT.
Results: There were 122 men and 11 women. The mean age was
28,9 years (range: 14-60 years). Based on clinical observation,
laparotomy was performed in 16 patients (12%). The remaining
patients were clinically monitored without any surgical intervention.
Mortality and major complication rate was zero in all groups.
Patients treated nonoperatively had a significantly shorter hospital
stay (1.8 days) than patients treated operatively (5,2 days)
(p=0.0003). In one case, we found no significant organ injury during
surgery in the laparotomy group.
Conclusion: SNOT of penetrating abdominal injuries has a high success
rate. (The Me di cal Bul le tin of Ha se ki 2012; 50: 81-8) |
| first_indexed | 2024-04-10T11:30:59Z |
| format | Article |
| id | doaj.art-5f919cd5595d460f8db7af0f59e3e64b |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T11:30:59Z |
| publishDate | 2012-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-5f919cd5595d460f8db7af0f59e3e64b2023-02-15T16:18:08ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882012-09-015038188Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal InjuriesTamer Karşıdağ0Sefa Tüzün1Sağlık Bakanlığı Haseki Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, TürkiyeSağlık Bakanlığı Haseki Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, TürkiyeAim: As a result of improvements in resuscitation and surgical techniques, advances in antibiotic treatment and development of monitoring equipments, selective non-operative treatment (SNOT) has emerged as an important development in the management of penetrating abdominal injuries. If patients do not need the operation, the ability to treat them without surgical intervention is not only scientifically correct but also necessary in terms of ethics. Methods: During the study period, hemodynamically stable 133 patients with penetrating injuries to the anterior and posterior abdomen and without indication for laparotomy were followed and treated with SNOT. Results: There were 122 men and 11 women. The mean age was 28,9 years (range: 14-60 years). Based on clinical observation, laparotomy was performed in 16 patients (12%). The remaining patients were clinically monitored without any surgical intervention. Mortality and major complication rate was zero in all groups. Patients treated nonoperatively had a significantly shorter hospital stay (1.8 days) than patients treated operatively (5,2 days) (p=0.0003). In one case, we found no significant organ injury during surgery in the laparotomy group. Conclusion: SNOT of penetrating abdominal injuries has a high success rate. (The Me di cal Bul le tin of Ha se ki 2012; 50: 81-8)http://www.hasekidergisi.com/article_4667/Effectiveness-Of-Selective-Non-operative-Treatment-In-Penetrating-Abdominal-InjuriesPenetrating abdominal injuryNon-operative treatment |
| spellingShingle | Tamer Karşıdağ Sefa Tüzün Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries Haseki Tıp Bülteni Penetrating abdominal injury Non-operative treatment |
| title | Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries |
| title_full | Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries |
| title_fullStr | Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries |
| title_full_unstemmed | Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries |
| title_short | Effectiveness Of Selective Non-Operative Treatment In Penetrating Abdominal Injuries |
| title_sort | effectiveness of selective non operative treatment in penetrating abdominal injuries |
| topic | Penetrating abdominal injury Non-operative treatment |
| url | http://www.hasekidergisi.com/article_4667/Effectiveness-Of-Selective-Non-operative-Treatment-In-Penetrating-Abdominal-Injuries |
| work_keys_str_mv | AT tamerkarsıdag effectivenessofselectivenonoperativetreatmentinpenetratingabdominalinjuries AT sefatuzun effectivenessofselectivenonoperativetreatmentinpenetratingabdominalinjuries |