PENETRAN KARIN YARALANMALARINDA SEÇÝCÝ GÖZLEM METODU

Haseki Hastanesi Cerrahi Kliniðinde 1990-1994 yýlarý arasýnda penetran batýn yaralanmasý nedeniyle 56 hastaya eksploratris laparotomi yapýlmýþtýr. Bunlardan 21 olgu (%37) negatif laparotomi ile sonuçlanmýþtýr. Penetran karýn yaralanmalarýnda negatif laparotomi oranýnýn yüksek olmasý, bu vakalarda seçici davranýlmasý gerektiðini düþündürmektedir.

SELECTIVE OBSERVATION IN PENETRATING ABDOMINAL WOUNDS

In Haseki Hospital, Department of General Surgery, laparotomy were performed between the years 1990-1994 for 56 penetrating abdominal wound. 21 cases (%37) were negative laparotomies. Since the ratio of negative laparatomies in stab wounds of the abdomen is too high, it has been thought that, the indications for exploration in these cases must be reviewed as has been proposed by many authors and a more selective approach must be made.