Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration
Systematic surgical exploration for penetratingabdominal wounds is considered, in the MacielHospital the Gold standard for diagnosis and therapy.In order to analyze the rate of unnecessarysurgeries (including among them those that do notmanage to identify lesions, and those that havingidentified the...
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| Μορφή: | article |
| Γλώσσα: | Ισπανικά |
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2006
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| Διαθέσιμο Online: | https://revista.scu.org.uy/index.php/cir_urug/article/view/4617 |
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| _version_ | 1868890178317189120 |
|---|---|
| author | Bado, Joaquín |
| author2 | Trostchansky, Julio Machado, Fernando |
| author2_role | author author |
| author_browse | Bado, Joaquín Machado, Fernando Trostchansky, Julio |
| author_facet | Bado, Joaquín Trostchansky, Julio Machado, Fernando |
| author_role | author |
| collection | Revista Cirugía del Uruguay |
| dc.creator.none.fl_str_mv | Bado, Joaquín Trostchansky, Julio Machado, Fernando |
| dc.date.none.fl_str_mv | 2006-04-23 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/4617 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| dc.relation.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/4617/4319 |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | Cirugía del Uruguay; Vol. 76 No. 2 (2006): Cirugía del Uruguay; 175-183 Cirugía del Uruguay; Vol. 76 Núm. 2 (2006): Cirugía del Uruguay; 175-183 Cirugía del Uruguay; v. 76 n. 2 (2006): Cirugía del Uruguay; 175-183 1688-1281 0009-7381 reponame:Revista Cirugía del Uruguay instname:Sociedad de Cirugía del Uruguay instacron:Sociedad de Cirugía del Uruguay |
| dc.subject.none.fl_str_mv | heridas y traumatismos laparotomía wounds and injuries laparotomy |
| dc.title.none.fl_str_mv | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration Cirugía de trauma en un hospital de agudos: Análisis crítico de la exploración quirúrgica sistemática |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/publishedVersion |
| description | Systematic surgical exploration for penetratingabdominal wounds is considered, in the MacielHospital the Gold standard for diagnosis and therapy.In order to analyze the rate of unnecessarysurgeries (including among them those that do notmanage to identify lesions, and those that havingidentified them, had no therapeutic value), a retrospectivestudy was conducted on a series of 238 along a period of 2 years and 5 months (October2001 to March 2004) in the Emergency Service ofMaciel Hospital.Sharp instrument wounds accounted for 67, ofwhich 22 (33%) were unnecessary laparotomies.Of the 59 laparotomies performed in the treatmentof firearm wounds, 11 were unnecessary (18,6%)..As a conclusion it may be said that systematicsurgical exploration in the group of patients withpenetrating abdomen wounds, particularly thosecaused by sharp instruments, are the cause of ahigh rate of unnecessary laparotomiespatients, who under went surgery due to trauma, |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_bd2cbe0b0cf6158cbeb0bb48c50828ad |
| instacron_str | Sociedad de Cirugía del Uruguay |
| institution | Sociedad de Cirugía del Uruguay |
| instname_str | Sociedad de Cirugía del Uruguay |
| language | spa |
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| oai_identifier_str | oai:ojs2.revista.scu.org.uy:article/4617 |
| publishDate | 2006 |
| publishDateSort | 2006 |
| publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| reponame_str | Revista Cirugía del Uruguay |
| repository.mail.fl_str_mv | |
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| spelling | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical explorationCirugía de trauma en un hospital de agudos: Análisis crítico de la exploración quirúrgica sistemáticaBado, JoaquínTrostchansky, JulioMachado, Fernandoheridas y traumatismoslaparotomíawounds and injurieslaparotomySystematic surgical exploration for penetratingabdominal wounds is considered, in the MacielHospital the Gold standard for diagnosis and therapy.In order to analyze the rate of unnecessarysurgeries (including among them those that do notmanage to identify lesions, and those that havingidentified them, had no therapeutic value), a retrospectivestudy was conducted on a series of 238 along a period of 2 years and 5 months (October2001 to March 2004) in the Emergency Service ofMaciel Hospital.Sharp instrument wounds accounted for 67, ofwhich 22 (33%) were unnecessary laparotomies.Of the 59 laparotomies performed in the treatmentof firearm wounds, 11 were unnecessary (18,6%)..As a conclusion it may be said that systematicsurgical exploration in the group of patients withpenetrating abdomen wounds, particularly thosecaused by sharp instruments, are the cause of ahigh rate of unnecessary laparotomiespatients, who under went surgery due to trauma,La exploración quirúrgica sistemática para lasheridas abdominales penetrantes es en el HospitalMaciel el patrón de referencia diagnóstico y terapéutico.Con el objetivo de analizar la tasa decirugías innecesarias (incluyendo en ellas tanto lasque no logran identificar lesiones, como aquellasque habiéndolas identificado no cumplieron ningúnrol terapéutico), se estudió en forma retrospectivauna serie de 238 pacientes operados por trauma alo largo de 2 años y cinco meses (octubre de 2001a marzo de 2004) en el Departamento de Emergenciadel Hospital Maciel.Se efectuaron un total de 126 laparotomías exploradoraspor heridas penetrantes de abdomen.Correspondieron a heridas punzocortantes 67, delas cuales 22 (33%), fueron laparotomías innecesarias.De las 59 laparotomías para tratar heridaspor proyectiles de arma de fuego, fueron innecesarias11 de ellas (18,6%).Sociedad de Cirugía del Uruguay2006-04-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revista.scu.org.uy/index.php/cir_urug/article/view/4617Cirugía del Uruguay; Vol. 76 No. 2 (2006): Cirugía del Uruguay; 175-183Cirugía del Uruguay; Vol. 76 Núm. 2 (2006): Cirugía del Uruguay; 175-183Cirugía del Uruguay; v. 76 n. 2 (2006): Cirugía del Uruguay; 175-1831688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspahttps://revista.scu.org.uy/index.php/cir_urug/article/view/4617/4319info:eu-repo/semantics/openAccessoai:ojs2.revista.scu.org.uy:article/46172026-06-16T04:54:25Z |
| spellingShingle | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration Bado, Joaquín heridas y traumatismos laparotomía wounds and injuries laparotomy |
| status_str | publishedVersion |
| title | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration |
| title_full | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration |
| title_fullStr | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration |
| title_full_unstemmed | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration |
| title_short | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration |
| title_sort | Trauma surgery in an acute care hospital: Critical analysis of systematic surgical exploration |
| topic | heridas y traumatismos laparotomía wounds and injuries laparotomy |
| url | https://revista.scu.org.uy/index.php/cir_urug/article/view/4617 |