diagnostic accuracy of abdominal wall ultrasonography and local wound exploration in predicting the need for laparotomy following stab wound
نویسندگان
چکیده
introduction: screening of patients with anterior abdominal penetrating trauma in need for laparotomy is an important issue in management of these cases. this study aimed to compare the accuracy of abdominal wall ultrasonography (awu) and local wound exploration (lwe) in this regard. methods: this diagnostic accuracy study was conducted on ≥ 18 year-old patients presenting to emergency department with anterior abdominal stab wound and stable hemodynamics, to compare the characteristics of awu and lwe in screening of patients in need of laparotomy. results: 50 cases with the mean age of 28.44 ± 7.14 years were included (80% male). sensitivity, specificity and area under the receiver operating characteristic (roc) curve of awu were 70.58 (95% ci: 44.04 – 88.62), 93.33 (95% ci: 76.49 – 98.83), and 81.96 (95% ci: 69.91 – 94.01), respectively. these measures were 88.23 (62.25 – 97.93), 93.33 (76.49 – 98.83), and 90.78 (95% ci: 81.67 – 99.89) for lwe, respectively. the difference in overall accuracy of the two methods was not statistically significant (p = 0.0641). conclusion: based on the findings of the present study, awu and lwe had the same specificity but different sensitivities in screening of anterior abdominal stab wound patients in need of laparotomy. the overall accuracy of lwe was slightly higher (91.48% versus 85.1%).
منابع مشابه
Diagnostic Accuracy of Abdominal wall Ultrasonography and Local Wound Exploration in Predicting the Need for Laparotomy following Stab Wound
INTRODUCTION Screening of patients with anterior abdominal penetrating trauma in need for laparotomy is an important issue in management of these cases. This study aimed to compare the accuracy of abdominal wall ultrasonography (AWU) and local wound exploration (LWE) in this regard. METHODS This diagnostic accuracy study was conducted on ≥ 18 year-old patients presenting to emergency departme...
متن کاملComparison of conservative management and laparotomy in the management of stable patients with abdominal stab wound.
INTRODUCTION The management of the hemodynamically stable patients with penetrating abdominal stab wounds is a problematic issue among trauma surgeons. METHODS In a retrospective study, we analyzed stable patients with anterior abdominal stab wound from August 2009 to 2010. The patients who were hemodynamically unstable or had developed peritonitis were excluded. In our center, the patients a...
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Background: Surgical wound (site) infection is the commonest complication following laparotomy for clean-contaminated and contaminated abdominal operations. Good surgical technique and perioperative prophylactic antibiotics in clean-contaminated and contaminated abdominal operations contribute to the low rate of surgical wound infection and its complications. The objectives of this study were t...
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چکیده ندارد.
15 صفحه اولA novel role of ultrasonography in identification of the tract of abdominal stab injury
Background Abdominal stab injury is potential life-threatening injuries. Operation should be considered if wound violate the peritoneal layer and/or complicated with hemodynamic compromise, peritonitis, impalement, or evisceration. It is well known there are several diagnostic tools to evaluate the necessity of operation for a patient with abdominal stab injury. Despite numerous diagnostic tool...
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عنوان ژورنال:
emergency journalجلد ۵، شماره ۱، صفحات ۳۴-۰
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