PENETRATING STAB WOUNDS OF THE ABDOMEN

From 1980 through 1994,119 patients' records with penetrating stab wounds of the abdomen causing visceral or vascular injuries were reviewed retrospectively. In this series there were 107 man (89.9%) and 12 women (10.1%). The patient's ages ranged from 5 to 70 years (average, 27.6±11.9 years). The most commonly injuried organs were small bowel (27.8%), colon (10.8%), live (16.8), stomach (11.8), amentum (11.8), spleen (10.8%) and diaphragm (8.4%). In addition, there were injuries to the rectum, gastrocolic ligament, falciform ligament, ureter and vasculer structures. The negative laporotomy rate was 5%. The average hospitalization period was 10.4±4.5 day. Overall mortality rate was 8.4% (10 patients). In conclusion to decrease the rate of negative laparotomy rate in patients with penetrating abdominal traumas a concensus necessary.

BATINA NAFÝZ KESÝCÝ-DELÝCÝ ALET YARALANMALARI

1980-1994 yýllarý arasýnda Atatürk Üniversitesi Týp Fakültesi Acil servisine baþvuran ve Genel Cerrahi Anabilim Dalý'na yatýrýlarak tedavi gören batýna nafiz kesici-delici alet yaralanmasý olan 119 hastanýn kayýtlarý retrospektif olarak incelendi. Hastalarýn 107'si erkek (%89.9), 12'si kadýn (%10.1) idi. En genç hasta 5, en yaþlý hasta 70 yaþýnda olup yaþ ortalamasý 27.6±11.9 idi. Yaralanma sýklýðýna göre organlar incelendiðinde 33 vaka ile(%27.8) ince barsaklar, 22 vaka (%18.4) ile kolon, 20 vaka ile (%16.8) karaciðer,14 vaka ile (%11.8) mide, 14 vaka ile (%11.8) omentum, 12 vaka ile (%10.8) dalak, 10 vaka (%8.4) diyafragma, 2 vaka ile (%1.7) rektum, 2 vaka ile (%1.7) gastrokolik ligament, 2 vaka ile (%1.7) gastroepiploik damarlar, 1 vaka ile (%0.8) falsiform ligament,1 vaka ile (%0.8) v.cava, 1 vaka ile (0.8)(%0.8) v.porta, 1 vaka ile (%0.8) ile üreter, 1 vaka ile (%0.8) v.iliaka yaralanmasý izlemektedir. 5 vakaya (%4.2) operasyon gerekmemiþ ve 6 vakaya (%5.0) negatif explorasyon yapýlmýþtýr. Ortalama hospitalizasyon süresi 10.4(4.5 gün olup, mortalite oraný %8.4 (10 vaka)'tür. sonuç olarak kesici-delici alet yaralanmalarýnda morbidite ve mortalite riski artýrýlmadan negatif laparotomi oranlarýnýn azaltýlmasý için genel konsensüse ihtiyaç vardýr.