Evidence map›Paper›PMID 30251153›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Postoperative complications of intestinal anastomosis after blunt abdominal trauma.

Ismail Mahmood, Fuad Mustafa, Basil Younis, Khalid Ahmed, Ayman El-Menyar, Mohammad Asim, Ammar Al-Hassani, Ruben Peralta, Hassan Al-Thani

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ismail MahmoodDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
Fuad MustafaDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
Basil YounisDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
Khalid AhmedDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
Ayman El-MenyarClinical research, Trauma and Vascular Surgery Section, Hamad General Hospital, PO Box 3050, Doha, Qatar. aymanco65@yahoo.com.ORCID http://orcid.org/0000-0003-2584-953X
Mohammad AsimClinical research, Trauma and Vascular Surgery Section, Hamad General Hospital, PO Box 3050, Doha, Qatar.
Ammar Al-HassaniDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
Ruben PeraltaDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.
Hassan Al-ThaniDepartment of Surgery, Trauma Surgery Section, Hamad Medical Corporation, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntestinal disruption following blunt abdominal trauma (BAT) continues to be associated with significant morbidity and mortality despite the advances in resuscitation and management. We aim to analyze the management and postoperative outcomes of intestinal injuries secondary to blunt abdominal trauma.

methodWe retrospectively reviewed all adult patients with intestinal injuries who underwent laparotomy for BAT between December 2008 and September 2015 at Level I trauma center. Data included demographics, mechanism of injury, site (small and large intestine), type of repair, (enterorrhaphy and resection with anastomosis), type of anastomosis (hand-sewn or stapled anastomoses), need for damage control laparotomy, postoperative complications, and mortality. Data were analyzed and compared for postoperative complications.

resultsA total of 160 patients with bowel injuries were included with mean age of 33 years, and 95.6% were males. Injuries involving small bowel, colon, and combined small and large bowel were found in 57.5%, 33.1%, and 9.4%, respectively, with only two duodenal and one rectal injury cases. There were 46.3% patients underwent debridement and primary closure, while 53.8% required resection with anastomosis. Anastomoses were side-to-side stapled in 79.1%, hand-sewn in 14.0%, and combination in 7.0% of patients. The overall postoperative complications (17.5%) in terms of wound infection (n = 16), intra-abdominal abscess (n = 13), and anastomotic leak (n = 13). There were two deaths occurred because of bowel injury complications. Need for blood transfusion, high serum lactate, number of re-laparotomies, and mortality were significantly associated with postoperative complications. On multivariate regression analysis, serum lactate (OR 1.27; 95% CI 1.01-1.60; p = 0.04) was found to be the independent predictor of postoperative complications.

conclusionRepair of traumatic blunt bowel injury remains a surgical challenge.

Indexed as

Anastomosis, SurgicalAbdominal InjuriesAdultDigestive System Surgical ProceduresFemaleHumansIntestinesMalePostoperative ComplicationsQatarRetrospective StudiesWounds, NonpenetratingAnastomosisBlunt abdominal traumaIntestinal injuryLaparotomy

Identifiers

PMID30251153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.