PMID: 11901315Mar 20, 2002Paper

Is delayed laparotomy for blunt abdominal trauma a valid quality improvement measure in the era of nonoperative management of abdominal injuries?

The Journal of Trauma
Victor J SorensenRiyad C Karmy-Jones

Abstract

Review of hemodynamically stable patients who undergo laparotomy for trauma greater than 4 hours after admission is an American College of Surgeons quality improvement filter. We reviewed our recent experience with patients who underwent laparotomy for trauma greater than 4 hours after admission to evaluate the reasons for delay, and to determine whether they were because of failure of nonoperative management or other causes. The registry at our Level I trauma center was searched from January 1998 through December 2000 for patients who required a laparotomy for trauma greater than 4 hours after admission. Of 3,369 admitted blunt trauma patients, 90 (2.7%) underwent laparotomy for trauma, of which 26 (29%) were identified as delayed laparotomies greater than 4 hours after admission. The most common mechanism of injury was motor vehicle crash, the mean Injury Severity Score was 18, and 65% of the patients had significant distracting injuries. Five patients had laparotomy greater than 24 hours after admission. The average time to the operating room in the remaining patients was 8.6 hours. Clinical examination (61%) findings were the most common indication for operation. Gastrointestinal (GI) tract injury was the most common injury...Continue Reading

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Citations

Apr 29, 2008·Pediatric Surgery International·Karel PychaJirí Snajdauf
Mar 15, 2002·Journal of the American College of Surgeons·David B Hoyt
Apr 22, 2008·World Journal of Surgery·Adam StannardTim J Hodgetts
Feb 15, 2011·Critical Care Medicine·Henry T StelfoxBarbara Bobranska-Artiuch
Jun 16, 2009·Cirugía española·Alvaro Campillo-SotoJosé Luis Aguayo-Albasini
Jun 9, 2006·World Journal of Emergency Surgery : WJES·Michael M KrauszShlomo H Israelit
Nov 22, 2011·Radiologic Clinics of North America·Christina A LeBedisJorge A Soto
Sep 15, 2004·Seminars in Pediatric Surgery·Jennifer L Bruny, Denis D Bensard
Dec 10, 2003·Radiologic Clinics of North America·Patrick W Hanks, Jeffrey M Brody
Aug 5, 2016·Annals of the Royal College of Surgeons of England·R PandeC Harmston
Feb 23, 2021·Journal of Surgical Case Reports·Ho-Cing Victor Yau

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