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A Clinical Analysis of Abdominal Stab Injuries  

Han, Jae Woong (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Kim, Byung Chun (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Jung, Jae Pil (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Cho, Ji Woong (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Chung, Bong Hwa (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Chung, Kyung Suk (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Kang, Koo Hyun (Department of Emergency Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Publication Information
Journal of Trauma and Injury / v.19, no.2, 2006 , pp. 143-149 More about this Journal
Abstract
Purpose: This study was done to evaluate the incidence, type of injury, medical consequences, mortality, and prognostic factors associated with stab wounds in patients who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea. Methods: A retrospective analysis of the clinical data of 40 patients with abdominal stab wounds who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea from January 1, 2000 to December 31, 2004. Results: 1) The most prevalent age group was patients in their the twenties to fourties (77.5% of all patients), and average age of the patients was 39.3 years. The male-to-female ratio was 2.07:1. 2) The external site of stab wounds was most commonly the periumbilcal area of the abdomen (14 cases, 33.3%). 3) The most commonly injured organs were the liver and the stomach (10 cases each, 16.9%). 4) Operations were performed on all 40 patients, with 9 (22.5%) negative operation findings. 5) Death occurred in 5 cases (12.5%). 6) The trauma indices of the death group were TRISS 51.9%, RTS 3.6 points, and APACHE II 23.0 points. 7) The average transfusion amount of the death group was 13.8 pints Conclusion: These data suggest that the transfusion amount and the trauma index of abdominal stab injuries may be statistically significant factors for predicting mortality.
Keywords
Abdominal stab wound;
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1 Van Brussel M, Van Hee R: Abdominal stab wound a five year patient review. Eur J Emerg Med 2001;8:83-8   DOI   ScienceOn
2 Park SH, Kwon KH, Min HS. The Clinical Evaluation of the Anterior Abdominal Stab Wounds.J Korean Surg Soc 1990;38:74-84
3 Lee JH, Ghi HS, Park KI, Kim CK: Surgical management of abdominal stab wound. 1982;24:115
4 Demetriades D, Rabinowitz B: Selective conservative management of penetrating abdominal wounds; A prospective study. Br J Aurg 1984;71:92-4   DOI   ScienceOn
5 Wilder Jr, Kudchadkar A: Stab wound of the abdomen. Observe or explore- JAMA 1980;27;243: 2503-5
6 Simon RJ, Rabin J, Kuhls D,: Impact of increased use of laparoscopy on negative laparotomy rates after penetrating trauma. The jounal of TRAUMA Injury, Infection, and Critical care 2002;53:297-302   DOI   ScienceOn
7 Champion HR, Sacco WJ, Copes WS: Injury Severity Score Again. J Trauma 1995;38:94-5   DOI   ScienceOn
8 Bostrom L, Heinius G, Nilsson B.: Trend in the Incidence and Severity of Stab Wound in Swenden 1987-1994. Eur J Surg 2000;166:765-70   DOI   ScienceOn
9 Oreskovich MR, Carrico CJ: Stab wounds of the anterior abdomen. Ann Surg 1983;198:411-7   DOI   ScienceOn
10 Cherry RA, Eachempati SR, Hydo LJ, Barie PS: The Role of Laparoscopy in Penetrating Abdominal Stab Wounds, Surg Laparosc Endosc Percutan Tech 2005;15:14-7   DOI
11 Park BR, Kim SM: Selective management of abdominal stab wound. KJSS 1988;35:469
12 Briggs SE, Hendricks D, Flint LM: Penetrating abdominal trauma; Resuscitation, diagnostic evaluation and definitive management. Adv Surg 1987; 20:1-46
13 Chol YB, LIM KS. Thrapeutic laparoscopy for abdominal trauma. Surg Endosc 2003;17:421-7   DOI   ScienceOn
14 Knaus WA, Draper EA, Wagner DP, Zimmerman JE: APACHE II: A Severity of Disease Classification system. Crit Care Med 1985;13: 818-29   DOI   ScienceOn
15 Ahmed N, Whelan J, Brownlee J, Chari V, Chung R: The Contribution of Laparoscopy in Evaluation of Penetraing Abdominal Wounds, J Am Coll Surg 2005;201:213-6   DOI   ScienceOn
16 Nance FC, Wenner MH, Johnson LW, Ingram JC, Cohr I Jr: Surgical Judgement in management of penetrating wound of abdomen: Experience with 2, 212 patient. Ann Surg 1974;179:639-46   DOI   ScienceOn
17 Baker SP, O'Neill B, Haddon W Jr, Long WB:The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14:187-96   DOI
18 Boyd CR, Tolson MA, Copes WS: Evaluating Trauma Care : The TRISS Method. J Trauma 1987; 27:370-8   DOI
19 Soto JA, Morales C, Munera F, Sanabria A, Guevara JM, Suarez T: Penetrating Stab Wound to the Abdomen-Use of Serial US and Contrast enhanced CT in stable Patients, Radiology 2001; 220:365-71   DOI
20 Lwoe RJ, Boyd DR, Folk FA, Barker RJ: The negative laparotomy for abdominal trauma. J Trauma 1972;12:853-61   DOI
21 McAlvanach MJ, Shaftan GW: Selective conservatism in penetrating abdominal trauma. J Trauma 1978;18:206-12   DOI
22 Shaftan GW: Selective conservatism in penetrating abdominal trauma. J Trauma. 1969;19:1026-8
23 Villavicencia RT, Aucar JA. Analysis of laparoscopy in trauma. J Am Coll Surg 1999;189: 11-20   DOI   ScienceOn
24 Champion HR Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME: A Revision of the Trauma Score. J Trauma 1989;29:623-9   DOI
25 Shaftan GW: Indication for operation in abdominal trauma, AM J surg 1960;99:657-64   DOI   ScienceOn
26 Malgren S, Hasselgren PO, Hellman A, Seeman T: Increasing incidence of stab wound. Acta Chir Scand. 1983;149;337-40