ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Characteristics and management of penetrating abdominal injuries in a German level I trauma center.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic performance of sonography in penetrating torso trauma: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Stab Injuries Due to Violent Crime: An Analysis of Data on Severely Injured Persons From the DGU Trauma Registry, 2013-2024.Deutsches Arzteblatt international · 2026Observational
- Penetrating Abdominal Injuries: A 10-Year Retrospective Analysis of 49 Patients at a German Trauma Center.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Emergency laparotomies in trauma management: a six-year case series.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- [Detection and emergency management of visceral injuries after abdominal trauma : Hollow organ and mesenteric injuries-keep in mind].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Clinical presentation and management outcome of abdominal stab wounds in a low-resource setting: experience of a central hospital in Sudan.International journal of emergency medicine · 2025Article
- Management of a pelvic impalement injury: a case report.Journal of surgical case reports · 2025Article
- Comparison of Clinical Characteristics, Therapy, and Short-Term Prognosis between Blunt and Penetrating Abdominal Trauma: A Multicentric Retrospective Cohort Study.Emergency medicine international · 2024Article
- Penetrating abdominal stab and gunshot injuries: 10-year experience of a secondary public hospital located in a suburban area with solo surgeons.Northern clinics of Istanbul · 2024Article
- Accuracy of CT Scan for Detecting Hollow Viscus Injury in Penetrating Abdominal Trauma.World journal of surgery · 2023Article
- Penetrating Abdominal Trauma: Descriptive Analysis of a Case Series From an Indian Metropolitan City.Cureus · 2022Article
- Article
- Laparoscopy has better performance than laparotomy in the treatment of stable penetrating abdominal trauma: A retrospective cross-sectional study in a trauma referral hospital in Colombia.Health science reports · 2022Article
- [Penetrating abdominal trauma].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Article
- Registry-Based Mortality Analysis Reveals a High Proportion of Patient Decrees and Presumed Limitation of Therapy in Severe Geriatric Trauma.Journal of clinical medicine · 2020Article
- Conservative management of abdominoperineal impalement trauma - A case report.International journal of surgery case reports · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePenetrating abdominal injuries caused by stabbing or firearms are rare in Germany, thus there is lack of descriptive studies. The management of hemodynamically stable patients is still under dispute. The aim of this study is to review and improve our management of penetrating abdominal injuries.
methodsWe retrospectively reviewed a 10-year period from the Trauma Registry of our level I trauma center. The data of all patients regarding demographics, clinical and outcome parameters were examined. Further, charts were reviewed for FAST and CT results and correlated with intraoperative findings.
resultsA total of 115 patients with penetrating abdominal trauma (87.8% men) were analyzed. In 69 patients, the injuries were caused by interpersonal violence and included 88 stab and 4 firearm wounds. 8 patients (6.9%) were in a state of shock at presentation. 52 patients (44.8%) suffered additional extraabdominal injuries. 38 patients were managed non-operatively, while almost two-thirds of all patients underwent surgical treatment. Hereof, 20 laparoscopies and 3 laparotomies were nontherapeutic. There were two missed injuries, but no patient experienced morbidity or mortality related to delay in treatment. 106 (92.2%) FAST and 91 (79.3%) CT scans were performed. Sensitivity and specificity of FAST were 59.4 and 94.2%, while those of CT were 93.2 and 85.1%, respectively.
conclusionIn hemodynamically stable patients presenting with penetrating abdominal trauma, CT is indicated and the majority of injuries can be managed conservatively. If surgical treatment is required, diagnostic laparoscopy for stable patients is feasible to avoid nontherapeutic laparotomy.
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