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Abdominal trauma: experience of 4961 cases in Western Mexico
Gustavo Parra-Romero1, Gabriel Contreras-Cantero1, Diego Orozco-Guibaldo1
1Servicio de Cirugía Medicina Legal, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.
Introduction:
Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity.
Objective:
To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico.
Method:
Consecutive patients included in the local registry GDL-SHOT were analyzed.
Results:
From 4961 patients, 91.4% were men, with a mean age of 28.7 years. Regarding the mechanism of trauma, 39.7% were stab wounds, 33% blunt abdominal trauma and 27.3% gunshots. The most affected organs were: small bowel (20.9%), liver (18.2%), and colon (14.2%). The mean hospital stay was 6.95 days with a mortality of 6.74%.
Conclusion:
In Mexico, abdominal trauma represents an important cause of morbidity and mortality, especially in young patients. We found an important amount of penetrating trauma.
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