APPROACH TO BLUNT ABDOMINAL TRAUMA (GENERAL RESULTS OF MONTHLY INTER-HOSPITAL MEETINGS OF THE TURKISH ASSOCIATION FOR TRAUMA AND EMERGENCY SURGERY 2)

BACKGROUND: In this review we wanted to explane of opinions of The Turkish Association for Trauma and Emergency Surgery monthly inter-hospital meetings results.
METHODS: Opinions of meetings participants about blunt abdominal trauma were reviewed.
RESULTS: Haemodynamic stability and conscience situation are the main factors to determine the approach to blunt abdominal trauma patients. We generally prefer ultrasonography (USG) to first step diagnostic technique for haemodynamica/ly stable patients. IfUSG is not possible, diagnostic peritoneallavage (DPL) could be perform. We propose that DPL or USGcould be perform when the focus isnot known in the haemodynamica/ly unstable, multi-traumatised patients. But we don 't agree to perform any diagnostic techniques if we know that haemodynamic unstability is caused from intraperitoneal injury.
CONCLUTION: We prefer and propose resuscitation and emergency laparotomy for a/l patients of whom focus of the haemodynamica/ly un-stability is i1itra-abdominal damage. But ifthe haemodynamica/ly un-stable patients have pelvic bone fractures we don't propose the emergency laparotomy, because the probablefocus ofthe serious bleeding is pelvic vessels. In our opinion that patients must be resuscitated aggressively and evaluated with C1; because in this situations false positivity of the DPL is often. Surgeons must not take shelter the laparotomy for the name of life rescue, because negative and non- therapeutic laparotomy has high morbidity.

KÜNT KARIN TRAVMALARINA YAKLAÞIM(ULUSAL TRAVMA VE ACÝL CERRAHÝ DERNEÐÝ AYLIK HASTANELER ARASI TOPLANTILARI GENEL SONUÇLARI 2)