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Abdominal stab wound with omental evisceration
Archives of Surgery (Chicago, Ill. : 1960)
|January 1, 1983
Summary
Abdominal stab wounds causing omental evisceration frequently result in major internal injuries. Routine exploratory surgery (celiotomy) is recommended for all such cases to identify and treat these critical injuries.
Area of Science:
- Trauma Surgery
- Surgical Outcomes
- Abdominal Trauma
Background:
- Omental evisceration from abdominal stab wounds presents a significant clinical challenge.
- Identifying the extent of intra-abdominal injuries is crucial for patient management.
Purpose of the Study:
- To determine the incidence of major intraperitoneal injuries in patients with omental evisceration due to abdominal stab wounds.
- To evaluate the necessity of routine exploratory celiotomy in these cases.
Main Methods:
- Retrospective review of 100 consecutive patients admitted with omental evisceration from abdominal stab wounds.
- Documentation of all major intra-abdominal injuries identified during surgical exploration.
Main Results:
- 69% of patients sustained major intraperitoneal injuries.
- Commonly injured organs included the small bowel (28%), liver (14%), stomach (10%), and large bowel (15%).
- Other injuries involved the spleen, diaphragm, and pancreas.
Conclusions:
- The high incidence of significant visceral injuries in patients with omental evisceration supports routine exploratory celiotomy.
- Early surgical intervention is vital for managing abdominal stab wound complications.