jueves, 1 de agosto de 2013

Features of the Cases Injured by Stab Wounds

Background: Criminal attacks involving stab wounds can be seen all over the world. Stab wounds and related organ injuries are somehow different than other kinds of injuries. Specification of our series was done and recent classical knowledge is presented. Methods and Findings: Stab wound injuries admitted to our hospital with penetration to the abdominal and/or thoracic cavities were examined retrospectively. Age, sex distribution, abdominal penetration, injured organs and their characteristics, morbidity and mortality rates were investigated.:Majority of the cases in our series was constituted by male gender.And ages older than andropause was minimal. Almost all the cases had abdominally penetrated wounds, negative laparotomy ratio was 25,5%. Average number of injured organs in positive laparotomy section was 1,16 and if an organ was injured, associated organ injury probability was found to be variable. For example, associated organ injury rate was 40% in liver injury but the percentage rises up to 80% in colonic injuries. Conclusions: Increasing the security measures may help to reduce stab wound injury events in urban places where criminal attacks are seen more frequently. Preventing the injured and accused people from facing each other during recovery in the same ward and re-involving in criminal events by psychological approach may affect personal behaviour positively. Abdominal penetration does not necessarily cause intra-abdominal organ injury. Surgeon must make an effort to reduce the number of negative laparotomy. If the patient needs emergency operation, surgeon should perform the appropriate surgical intervention without delay. Exploration of the abdomen should include inspection of all the intra-abdominal organs and if an organ injury is detected, meticulous inspection must be done while exploring the neighboring anatomical structures. Key words: stab wound; abdominal injury; thoracic trauma; abdominal trauma

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