[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 7, Issue 3 (Autumn 2019) ::
Journal of Surgery and Trauma 2019, 7(3): 76-85 Back to browse issues page
Indications, mortality, and long-term outcomes of 50 consecutive patients undergoing damage control laparotomy for abdominal gunshot wounds
Khaled Twier, Leila Hartford, Andrew Nicol, Sorin Edu, Derek Roberts, Chad Ball, Pradeep Navsaria *
Trauma Center, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Abstract:   (1108 Views)
  • Introduction: Outcomes of patients undergoing damage control laparotomy (DCL) for abdominal gunshot wounds (GSWs) remains relatively unknown. The purpose of this study was to evaluate the impact of DCL on long term morbidity and survival.
  • Methods: This retrospective study was conducted on patients undergoing a damage control laparotomy for abdominal GSWs. The data were collected using 50 consecutive trauma patients over a 4.5-year-period between August 1st, 2004 and September 30th, 2009. The patients were classified regarding the characteristics, such as age, perioperative physiological parameters, trauma indices, number of abdominal GSWs, critical care unit stay, hospital length of stay, morbidity, and mortality. Univariate and multivariate logistic regression was employed to compute the odds of survival and estimate the unadjusted and adjusted association between these factors.
  • Results: According to the results, the majority of the patients were male (96%) with a mean age of 29.7 years who had a single abdominal gunshot wound (60%). Liver injuries (58%) followed by small bowel (44%), majors venous (40%), and colonic (38%) trauma were observed in the patients. The overall mortality rate was obtained at 54%. The mean length of intensive care unit stay and mean hospital length of stay were 7 and 13 days, respectively. Factors associated with a decreased odds of survival included Penetrating Abdominal Trauma Index (PATI) > 25, intra-operative blood lactate level > 8 mmol/L, and massive transfusion >10 units packed red blood cells.
  • Conclusions: After controlling the confounding factors, a PATI score of > 25 was associated with a decreased odds of survival (OR: 0.20, P=0.04).
Keywords: Gunshot, Laparotomy, Shock, Surgery, Traumatology
Full-Text [PDF 982 kb]   (209 Downloads) |   |   Full-Text (HTML)  (250 Views)  
Type of Study: Research | Subject: Trauma
Received: 2019/07/26 | Accepted: 2019/09/23 | Published: 2019/11/2 | ePublished: 2019/11/2
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Twier K, Hartford L, Nicol A, Edu S, Roberts D, Ball C et al . Indications, mortality, and long-term outcomes of 50 consecutive patients undergoing damage control laparotomy for abdominal gunshot wounds. Journal of Surgery and Trauma . 2019; 7 (3) :76-85
URL: http://jsurgery.bums.ac.ir/article-1-200-en.html


Volume 7, Issue 3 (Autumn 2019) Back to browse issues page
نشریه جراحی و تروما Journal of Surgery and Trauma
Persian site map - English site map - Created in 0.18 seconds with 32 queries by YEKTAWEB 4213