[Abdominal injuries. Occurrence and outcome]

Area of Science:

• Trauma surgery
• Abdominal trauma
• Injury epidemiology

Context:

• Retrospective analysis of 221 intra-abdominal injury cases from 1977-1986.
• Focus on patient demographics, injury mechanisms, and treatment modalities.
• Examines concomitant extra-abdominal injuries and their impact.

Purpose:

• To identify the primary causes of intra-abdominal injuries.
• To describe the spectrum of injuries and common organ involvements.
• To evaluate treatment outcomes, including surgical interventions, blood transfusions, and respiratory support.

Summary:

• Road traffic accidents (38%) and sports/recreation (23%) were the main causes of injury in patients with a median age of 19.
• Renal and splenic injuries were most frequent. 54% underwent surgery, 41% required blood transfusions, and 13% needed respirator support.
• Overall lethality was 9%, with 95 patients having associated extra-abdominal injuries.

Impact:

• Highlights the significant burden of traumatic intra-abdominal injuries in a young population.
• Provides insights into injury patterns and treatment strategies for trauma centers.
• Informs public health initiatives aimed at reducing traffic and sports-related trauma.