LAPAROTOMY FOR ABDOMINAL TRAUMA

We reviewed 274 patients retrospectively for a 7 years period that we made laparotomy for abdominal trauma. The most trauma cause was motor vehicle accident (50.3%) and the indications for operation were peritoneal lavage (50.4%) and shock (28.9%). The most commonly injured organ by blunt trauma was spleen (48.8%); in the penetrating trauma (32.6%) and the stab wounds (36%) was small intestine. The false laparotomy rate for blunt trauma was 2.4%, while for stab wounds it was 20.4%, and for shotgun wounds 8%. The mortality rate for blunt trauma was 16.9%, for stab wounds 1.2% and f or shotgun wounds 12%.

KARIN TRAVMALARI ÝÇÝN LAPAROTOMÝ

Karýn travmasý nedeniyle 7 yýllýk bir period içinde laparotomi yaptýðýmýz 274 hasta retrospektif olarak gözden geçirildi. En yaygýn travma sebebi araç içi ve dýþý trafik kazalarý (%50.3), operasyon için en yaygýn endikasyon peritoneal lavaj (%50.4) ve sok bulgularý (%28.9)'dýr. Kunt travmaya en çok maruz kalan organ dalak (%48.8), delici-kesici alet ve ateþli silahlarla en fazla yaralanan organ ince barsaklar (%32., %36)'dýr. Künt travmalarda negatif laparatomi oraný %2.4 iken, delici-kesici alet yaralanmalarýnda %20.4 ve ateþli silah yaralanmalarýnda %8'dir. Künt travmalarýn mortalitesi %16.9, delici-kesici alet travmalarýnýn %1.2, ateþli silah yaralanmalarýnýn %12 'dir.