PENETRATING ABDOMINAL WOUNDS

Between 1990 and 1993, penetrating abdominal wound cases examined for investigating the effect of the etiological factors on progress of the disease. %73.8 of the cases were penetrating stab-wounds and %26.2 of the cases were gun-shot wounds. In % 63.7 of the gun-shot wound cases there was multiple organ injury. In other group this rate was %31.3. There was no peritoneal involvement in %5.6 of cases and in %8.7 of cases there was no organ pathology. Liver, colon and small intestine were the most injured organs. Overall mortality was %2.4. In gun-shot and stab-wounds mortality was %9.1 and %0 respectively. The most important reason of mortality was hypovolemia. Complication and mortality of gun shot wounds are higher and we have come to a conclusion that early laparatomy in penetrating abdominal wounds lead o decreased complications and mortality.

PENETRE KARIN YARALANMALARI

1990-1993 yýllarý arasýnda, etyolojik faktörün, hastalýðýn seyrine olan etkilerini araþtýrmak için 126 penetre karýn yaralanmasý olgusunu inceledik. Olgularýn %73.8'i kesici-delici alet yaralanmasý, %26.2'si ateþli silah yaralanmasý idi. Ateþli silah yaralanmalarýnýn %63.7'sinde birden fazla organ yaralanmasý varken, kesici-delici alet yaralanmalarýnda %31.3 idi. %5.6 olguda periton salimdi ve %8.7 olguda organ patolojisi yoktu. En çok yaralanan organlar, karaciðer, kolon, ince barsaklardýr. Genel mortalitemiz %2.4 olup, ateþli silah yaralanmasýnda %9.1, kesici-delici alet yaralanmasýnda %0'dýr. Mortalitenin en büyük nedeni hipovolemidir. Ateþli silah yaralanmalarýnýn komplikasyon ve mortalitesinin daha yüksek olduðu, penetre karýn yaralanmalarýnda erken laparatominin komplikasyon ve mortaliteyi düþürdüðü sonucuna vardýk.