Tratamiento quirúrgico del trauma abdominal en pacientes atendidos en el servicio de trauma del Hospital Vicente Corral Moscoso, enero - diciembre de 2014

Abstract

Nowadays the abdominal trauma is a common clinical entity in our society. The importance lies in its implications in the management and the socioeconomic costs generated. Objective: Identify the surgical management of abdominal trauma in patients treated at “Vicente Corral Moscoso Hospital”. Method: Descriptive and prospective study of all patients who have been underwent for abdominal trauma surgery at Vicente Corral Moscoso Hospital in Cuenca - Ecuador, in 2014; for which the medical record was used. Statistical analysis was made according to the description of each of the variables but frequencies, percentages and averages. Results: 54 patients who also underwent surgery for abdominal trauma were studied, with an average age of 31 +/- 11 years old; 75.9% are under 36 years old; blunt trauma, 57.4%; 87% men. The main accident, the collision was 72%. The most important injury associated with it, was chest trauma, 35.7%. A 90.7% had abdominal pain and for Fast 76.9% were positive. Laparotomy was performed on 77.8%; damage control, 18.5%. The spleen and small intestine were the most affected organs. Primary raffia recorded, 88.8%; splenectomy; 76.6%. 38.9% People who needed blood products; 25.9% Tranexamic acid. The average hospital stay was 7 +/- 6 days; the most frequent splenic injury was grade IV, 41.1%; small intestine Grade II, 44.4%. Conclusions: Signs and symptoms were the best method to determine the type of operation to be performed on our patients, exploratory laparotomy remains the mainstay in the treatment of abdominal trauma