2005•Journal of Traumatic SurgeryRequires access
Treatment of penetrating abdominal injuries with omentum evisceration
Tiejun Chen
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Abstract
Objective To investigate the treatment of penetrating abdominal injuries with omentum evisceration.Methods The clinical data of 86 patients of penetrating abdominal injury with omentum evisceration were studied.These 86 patients were divided into 3 groups: 44 cases operated immediately(group Ⅰ);16 cases treated conservatively(group Ⅱ);26 cases diagnosed and treated with laparoscopy(group Ⅲ).Results In group Ⅰ,negative laparotomy were found in 8 cases;In group Ⅱ,12 cases were treated with conservative approach successfully,and 4 cases were converted to laparotomy,1 case proved to be negative.In group Ⅲ,negative laparoscopy were found in 6 cases,13 cases were operated with laparoscopy,and 7 cases were converted to laparotomy.The patients without intra-abdominal injuries accounted for 31.40%(27/86).Conclusion The isolated penetrating abdominal injury of the patients with omentum evisceration has a high rate of negative laparotomy.However the conservative approaches has some risk.The laparoscopic diagnosis and therapy is a good way to resolve this problem.