Trauma abdominal penetrante por heridas de arma blanca. Manejo laparoscópico vs convencional. Estudio prospectivo y comparativo / Penetrating abdominal trauma due to stab wounds. Laparoscopic vs conventional management. Prospective and comparative study

La evaluación y el manejo del trauma abdominal ha presentado cambios significativos en los últimos tiempos. La laparoscopia en el trauma abdominal penetrante ha sido de gran utilidad principalmente como método diagnóstico, sin embargo, se debería considerar como herramienta terapéutica.Objetivo: Determinar la eficacia del manejo laparoscópico vs el convencional en el tratamiento de pacientes con trauma abdominal penetrante por heridas de arma blanca.Métodos : Estudio experimental, prospectivo, comparativo. La población de estudio estuvo representada por pacientes con diagnóstico de traumatismo abdominal penetrante por herida de arma blanca que ingresaron a la emergencia de cirugía del Hospital Dr. Miguel Pérez Carreño durante el periodo enero 2019 a julio 2021.Resultados : Fueron incluidos 48 pacientes, 28 pacientes del grupo control y 20 pacientes del grupo experimental. Ambos grupos fueron comparables con respecto a edad y sexo. El índice de severidad del trauma (PATI) fue similar en ambos grupos. Las complicaciones y el tiempo quirúrgico no tuvieron diferencias estadísticamente significativas. Las cirugías negativas representaron el 15 % en el grupo laparoscópico vs 11 % en el abordaje convencional. El porcentaje de conversión fue de 15 %. La estancia hospitalaria fue menor en el grupo laparoscópico 3,25 vs 4,6 días (p = 0,04).Conclusión: La cirugía laparoscópica puede considerarse el abordaje de elección en pacientes hemodinámicamente estables con trauma abdominal penetrante por herida de arma blanca, siendo un método seguro y eficaz, brindando los beneficios propios de la cirugía mínimamente invasiva, con baja tasa de complicaciones y una recuperación más rápida(AU)

The evaluation and management of abdominal trauma have changed significantly in recent times. Laparoscopic approach in penetrating abdominal trauma has been useful as diagnostic method, however, its therapeutic value should be considered. Objective: To determine the efficacy of laparoscopy versus laparotomy approach as treatment in patients with penetrating abdominal trauma caused by stab wounds. Methods: We conducted an experimental, prospective and comparative study. Study population was represented by patients with diagnosis of penetrating abdominal trauma due to stab wounds who were admitted to the emergency room of Dr. Miguel Pérez Carreño Hospital between January 2019 and July 2021.Results : 48 patients were included, 28 in the control group and 20 patients in the experimental group. No differences were found between groups regarding age and sex. The penetrating abdominal trauma index (PATI) was similar in both groups. Differences in complications and surgical time were not statistically significant. Non-therapeutic surgeries represented 15 % in laparoscopic group and 11 % in laparotomy group. The conversion percentage was 15 %. Hospital stay were shorter in laparoscopic group, 3.25 vs 4.6 days (p = 0.04). Conclusion: Laparoscopic surgery can be considered the approach of choice in hemodynamically stable patients with penetrating abdominal trauma due to stab wounds. It is a safe and effective method, providing the benefits of minimally invasive surgery, with a low rate of complications and faster patient recovery(AU)

Revascularización de arteria humeral con vena safena invertida, en traumatismo vascular por arma blanca / Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing

Introducción: Los traumatismos vasculares de los miembros son muy frecuentes en la actualidad, cuando no reciben la atención requerida, pueden evolucionar a complicaciones graves: pérdida del miembro y muerte del paciente. Objetivo: Describir la técnica de reparación de la arteria humeral mediante el uso de vena safena, en un caso con traumatismo de la arteria humeral, con compromiso vascular. Caso clínico: Paciente de 37 años de edad con antecedentes de enfermedad psiquiátrica, con diagnóstico de herida por arma blanca con compromiso vascular en antebrazo izquierdo, de cuatro horas de evolución. Al ingreso se encontraba inestable, con choque hipovolémico, miembro cianótico y ausencia de pulsos distales. Se indicó, por vía parenteral, antibióticos, soluciones cristaloides y sangre. En el quirófano se encontró sección de total de la arteria humeral, se realizó revascularización con injerto de vena safena invertida. El paciente evolucionó favorablemente y egresó al tercer día. Once meses después se realizó ecografía dópler y se constató buena permeabilidad del injerto. Conclusiones: La técnica de revascularización con vena safena invertida contribuyó de forma satisfactoria en la supervivencia y calidad de vida del paciente tratado (AU)

Introduction: The vascular traumatisms of the limbs are very frequent at present. When these injuries do not receive the required care they can evolve to serious complications, which includes the loss of the limb or death. Objective: To describe the brachial artery repair technique using the saphenous vein in a case with brachial artery trauma with vascular compromise. Clinical case: 37-year-old patient with a history of psychiatric illness, with a diagnosis of a stab wound with vascular compromise in the left forearm of four hours of evolution. On admission, he was unstable, hypovolemic shock, with cyanotic limb and absence of distal pulses. Intravenous antibiotics, crystalloid solution and blood were indicated. The patient was transferred to the surgery and a total section of the brachial artery was found. The revascularization technique was performed with an inverted saphenous vein graft. The patient evolved favorably and was discharged on the third day. Eleven months later, Doppler ultrasound was performed and good graft patency was confirmed. Conclusions: The inverted saphenous vein revascularization technique contributed satisfactorily to the survival and quality of life of the treated case(AU)

Bacillus cereus bacteremia in a patient with an abdominal stab wound / Bacteriemia por Bacillus cereus en paciente con herida de arma blanca abdominal

Abstract Bacillus cereus is a gram positive microorganism commonly involved in gastrointestinal infection but capable of causing severe infections and bacteremia. We describe here a case of bacteremia caused by B. cereus in a previously healthy young woman admitted to the intensive care unit following emergency surgery due to a penetrating abdominal stab wound and subsequent hepatic lesion. She developed fever during admission and cultures were taken. B. cereus was isolated in blood and hepatic fluid collection cultures. Treatment was adjusted according to the isolate, with good clinical results. It is important to highlight the pathogenic potential of this microorganism and not underestimate it as a contaminant when it is isolated from blood samples.

Resumen Bacillus cereus es un microorganismo gram positivo comúnmente involucrado en infecciones gastrointestinales, pero capaz de causar infecciones graves y bacteriemia. Presentamos un caso de bacteriemia por B. cereus en una mujer joven previamente sana que ingresa en la unidad de cuidados intensivos luego de una cirugía de emergencia, debido a una herida abdominal por arma blanca con lesión hepática. La paciente desarrolla fiebre durante la internación, por lo que se toman cultivos. Se aísla B. cereus en hemocultivos y material de colección hepática. Se ajusta el tratamiento según los hallazgos, con buena evolución clínica. Esta comunicación ilustra una fuente poco común de bacteriemia por B. cereus. Asimismo, destaca el potencial patogénico de este microorganismo, cuyo hallazgo en muestras de sangre no siempre debe conducir a su rápida desjerarquización como contaminante.

Stab Wound Extension for the Eviscerated Small Bowel with Severe Ischemic Changes

An abdominal stab wound with evisceration is an indication of an emergency laparotomy. We encountered a case of a very severe ischemic change in the eviscerated small bowel as a result of stabbing. The patient was considered to have a high possibility of progressing to strangulation of the small bowel. Therefore, a stab wound extension was performed as a decompression in the emergency department before definite surgery in the operating room. Most of the small bowel could be saved except for the segment with the damage caused by the stab injury. The patient was discharged without complications.

Lesiones medulares por arma blanca. Presentación de casos clínicos y propuesta de manejo / Spinal cord injuries. Presentation of clinical cases and management proposal

Resumen: Las lesiones raquimedulares producidas por arma blanca son poco frecuentes, pero constituyen hasta un 10% de las lesiones penetrantes espinales. Se presentan tres casos de lesiones raquimedulares causadas por arma blanca, se trata de dos mujeres y un hombre que recibieron agresiones con cuchillos a nivel del dorso. Una lesión fue a nivel torácico y dos a nivel cervical. Se trataba de lesiones medulares incompletas y recibieron un manejo conservador. La evolución fue buena en dos pacientes y mala en uno, que requirió en diferido asistencia respiratoria mecánica y agravó su déficit motor (cuadriparesia a prácticamente una cuadriplejia). En base a estos casos, los autores hacen una revisión del tema y plantean un esquema de manejo diagnóstico y terapéutico para las lesiones raquimedulares penetrantes no causadas por arma de fuego.

Abstract Spinal cord injuries are rare, but constitute up to 10% of spinal penetrating lesions. There are three cases of spinal cord injury, two women and one man who were attacked by knives at the level of the back. One injury was at the thoracic level and two at the cervical level. They were incomplete medullary lesions and received conservative management. The evolution was good in two patients and poor in one, which required a delayed mechanical ventilation and aggravated its motor deficit (quadriparesis to practically a quadriplegia). Based on these cases, the authors make a review of the subject and propose a diagnostic and therapeutic management scheme for penetrating spinal cord injuries not caused by firearms.

A review of stab wound injuries at a tertiary trauma centre in Singapore: are self-inflicted ones less severe?

<p><b>INTRODUCTION</b>In Singapore, as strict laws are a strong deterrent against armed violence, little is known about the epidemiology of penetrating stab wound injuries. Our study aimed to investigate the epidemiology of stab wound injuries at a major trauma centre in Singapore and determine if there was a difference in severity between self-inflicted stab wound (SI) injuries and those inflicted by others (IO).</p><p><b>METHODS</b>We retrospectively reviewed all penetrating injuries at Tan Tock Seng Hospital, and identified and categorised all stab wound injuries as SI or IO. Basic demographic information, injury severity characteristics and outcome data were compared between these two groups. A review of all mortalities was performed, including recording the causes of death.</p><p><b>RESULTS</b>Between 2005 and 2010, there were a total of 149 stab wound injuries, of which 24 (16.1%) were SI and 125 (83.9%) were IO injuries. Patients tended to be young (mean age 34.1 ± 14.2 years). The mean Injury Severity Score was significantly different between the SI and IO groups (8.8 ± 6.5 vs. 12.3 ± 8.1; p = 0.03). In both groups, the majority underwent an operative procedure (83.3% vs. 85.6%) and had an average hospital stay of four days.</p><p><b>CONCLUSION</b>The study confirms our hypothesis that SI injuries tend to be less severe than IO injuries and are more likely to occur at home rather than at a public area. This finding may be useful in the triage of patients with stab wound injuries.</p>

Anti-apoptosis and anti-inflammatory effect of osthole in mice following stab wound injury / 中国药理学通报

Aim To investigate the effects of osthol on cell apoptosis and inflammatory cell infiltration after brain stab wound injury in mice. Methods The mice underwent the stab wound injury by a needle, then were randomly divided into sham operation group, model group, osthol 10, 20, 30 mg · kg-1 treatment group. The main examinations included mice brain wa-ter content; the apoptotic cytokines Bax, Bcl-2, Caspase-3 mRNA expression were assessed by PT-PCR; immunohistochemistry staining was used to de-tect neutrophils (MPO) and microglia (Iba-1) infiltra-tion and Caspase-3 positive cell expression around in-jured lesions. Results Treatment with osthole 20, 30 mg·kg-1 group significantly reduced the water content in injured brain, improved the ratio of Bax/Bcl-2, and reduced the expression of apoptosis cytokine Caspase-3 mRNA. Osthole 30 mg·kg-1 treatment group obvious-ly reduced the infiltration of neutrophils and microglial cells and significantly reduced the number of apoptotic cells around the injured cerebral cortex. Conclusion Osthole has therapeutic effect on stab wound injury in mice, and the possible mechanism may be by reducing the infiltration of inflammatory cells and reducing apop-totic cells.

Herida penetrante en región anterior del cuello en un adulto angolano / Stab wound in anterior region of neck in an Angolan adult

Se describe el caso clínico de un paciente de 52 años de edad, quien en un intento de suicidio se hizo una herida penetrante en el cuello con un objeto cortante que le provocó sección de la laringe. A pesar de no disponerse de todos los recursos materiales necesarios, la atención inmediata y el trabajo coordinado de los integrantes de un equipo multidisciplinario, integrado por médicos cubanos que laboraban en el Hospital Provincial "Dr. Agostinho Neto" de la República Popular de Angola, permitió hacer un diagnóstico precoz y aplicar el tratamiento oportuno, gracias a lo cual se logró la recuperación total del enfermo y su reincorporación a su medio social y familiar.

The case report of a 52-year-old patient is described who in a suicide attempt made himself a stab wound in his neck with a sharp object that caused section of the larynx. Despite lack of all the necessary material resources, emergency care and coordinated work of members of a multidisciplinary team, formed by Cuban doctors working in "Dr Agostinho Neto" Provincial Hospital of the Popular Republic of Angola, allowed to make an early diagnosis and administer timely treatment, by which the patient´s full recovery and his return to his family and social environment were achieved.

Anterior Penetrating Chest Injury with Left Ventricular Thrombus

Urban cities are synonym with a high incidence of penetrating chest injuries either from accidents or interpersonal violence. The outcome of penetrating chest wound can vary from immediate death to a prolonged morbidity. We here report a case of 39-year-gentleman who presented to Emergency Department Hospital Raja Permaisuri Bainun, Ipoh, Perak after being stabbed to the chest. His anterior penetrating chest wound was located at the 5th intercostal space medial to the midclavicular line. The stab wound penetrated the myocardium, causing minimal myocardial rupture. He also suffered from left haemothorax and hemopericardium. The haemothorax was drained with insertion of 32 French chest tube. The patient was admitted under the cardiothoracic team and discharged five days later without surgical intervention. He presented again to the Emergency Department with complains of shortness of breath and pleuritic pain. A left ventricular thrombus was detected via echocardiography. Unfortunately, he took his own discharge. Five days later he came again to Emergency Department with sporadic of loss of vision. The mural thrombus dislodged and embolized to the retinal artery causing amaurosis fugax. The patient was treated with aspirin 150mg and his symptoms subsequently resolved.

Analysis of homicidal deaths in and around Bastar region of Chhattisgarh.

FREEDOM FROM VIOLENCE, not necessarily proportional with development in some basic capabilities like nutrition, longevity and literacy which positively related to economic growth. So, dealing with violence in society is intrinsically a matter of public interest. In present study 79 cases of homicidal deaths due to different mechanical injuries was studied in two year period from 1/1/2009 to 31/12/2010. The incidence of homicidal death was 9.13% during this period. Males affected more in comparison to females. Majority of cases were fall in 21-40 yrs. of age comprising 50 cases (63.28%).Injuries by blunt weapons commonly observed in 30 cases (37.97%) which followed by injuries by sharp weapons 19 cases (24.05%). Totally 329 sharp injuries observed in comparison to 152 blunt injuries. Incidences were prevalent at dense forest area 26 cases (32.91%), in married persons 55 cases (69.62%), in between 6 pm to 12 midnight 24 cases (30.37%) and revenge was main motive 23 cases (29.11%).

Penetrating chest injuries: a medicolegal analysis.

Penetrating injuries are one of the commonest methods of committing murder, of which penetrating injuries of the chest/heart are very serious and prove fatal in most of the cases (1). In a post mortem study of penetrating chest injuries at Lucknow, majority of the victims were adult male between 20-50 years of age. In majority of the cases injuries were caused by firearms usually a shot gun. Injuries by knives and daggers were also seen in few cases. Injuries were seen on the front of chest, predominantly on the left side, in majority of the cases. Lungs were damaged in all the cases. Heart; aorta & other thoracic organs were also injured in substantial number of cases. In the cases where heart was found damaged, the right ventricle was injured in majority of the cases. Two-third of the victims died within three hours after getting injuries, either on the spot or in the way to the hospital. All the cases of penetrating chest injuries were homicidal & personal rivalry was the single most common reason behind these deaths.

A Clinical Analysis of Abdominal Stab Wounds

PURPOSE: A classic approach to abdominal stab wounds has been a routine laparotomy for the purpose of diagnosis or treatment. However, management protocols for abdominal stab wounds are still contentious in most trauma centers. We examined the relationship between the character of the stab wound and the injured intraabdominal organs by retrospectively analyzing the medical records of patients with abdominal stab wounds admitted to Gil hospital, and the findings for our patients are then confronted with a review of the literature. We aimed to propose proper management protocols to approach abdominal stab wounds. METHODS: The medical records of all 80 patients sustaining abdominal stab wounds, admitted at the Department of Surgery, Gil Hospital, Gachon Medical School, from January 2004 to December 2008 were retrospectively reviewed. All the abdominal stab wounds were collated based on the site and the character of the injury, investigations performed on admission, results of investigations, operations performed and findings at the time of the operation. RESULTS: The most prevalent age group was patients in their forties and the average age of the patients was 41 years for both genders. The stab wounds were most commonly located at the periumbilical area (16.9%), followed by the epigastric area (15.6%), and 18.2% of the patients had multiple wounds. The most commonly eviscerated organ was the omentum (9 out of 16 cases); 61.7% of non-eviscerated patients underwent a therapeutic laparotomy while 81.3% of eviscerated patients underwent a therapeutic laparotomy. The small bowel was the most commonly injured organ (22.7%, 17 out of 75 injuries). The review revealed a relatively common diaphragmatic injury in abdominal stab wound patients (8 cases, 10.5%). The average hospital stay was 11 days. CONCLUSION: This review revealed commonly eviscerated and injured intraabdominal organs in abdominal stab wound patients and their relationship with a therapeutic laparotomy. Although the management is still controversial, the authors suggest indications for an immediate laparotomy and a protocol for managing abdominal stab wounds. Hemodynamic instability and peritoneal irritation signs are definite indicators for an immediate laparotomy, but the review revealed intraabdominal organ evisceration alone not to be a statistically significant factor. In addition, the authors suggest that abnormal CT findings can be valuable for making a decision on management of hemodynamically stable stab wound patients. Further study may clarify a role for a more selective approach to operative intervention and for a more extensive use of selective observation.

Penetrating Aortic Root Injury / 日本心臓血管外科学会雑誌

The patient was a 25-year-old man, who had been stabbed with a weapon siarilar to long ice pick. Thirty minutes later, he was admitted to our emergency center by ambulance. Anchocardiogram on admission revealed moderate pericardial effusion with normal heart function. Contrast medium enhanced computed tomography revealed that the weapon had entered from the left anterolateral chest wall and reached the posterior wall of the aortic root, approximately 1 cm above the left coronary artery orifice, through the left lung. During examinations, he suddenly went into shock and emergency open pericardial drainage was performed immediately. Approximately 400 ml of blood with a clot was removed from the pericardial cavity. After this procedure, there was no continuous bleeding. Subsequently, pseudoaneurysm developed at the aortic root injury site. Twenty seven days later, aortic surgery was performed. The injury site was resected and sutured directly, employing 4-0 polypropylene sutures with felt pledgets. He was discharged 14 days after the operation without any complications.

Clinical Evaluation of Abdominal Stab Wound Patients in the ED

PURPOSE: In Korea, most abdominal penetrating wounds are caused by stab wounds rather than gun-shot wounds. However, not many studies have been performed on stab injuries and their epidemiologic characteristics. Disagreements of opinions of obligatory surgical exploration and conservative treatment exist, and this subject is still being debated. Therefore, the authors studied the epidemiologic characteristics of abdominal stab wound patients visiting the emergency department and reviewed the proportion of patients that received non-therapeutic surgery and conservative treatment. METHODS: This study included patients visiting the emergency department with abdominal stab wounds. A retrospective chart review was done on the abdominal stab wound patients. Sex, age, cause of injury, location of wound, initial vital signs, operation results, injured organs and CT & LWE results were reviewed. RESULTS: The median age of the 121 patients was 40.9 years, of these patients, 88 were males, of which 52 (43.0%) were drunken. Of the patients that received non-therapeutic operations, only 3 patients (15.0%) were drunken, significantly lower than the therapeutic operation group. For the location of the wound, most patients were injured in the right and left upper quadrants, 27 patients each. The most common injured organ was the small bowel; 13 patients were injured in the small bowel. With abdominal CT scans and local wound explorations together, the results exhibited a sensitivity of 97%, a specificity of 44%, a positive predictive value of 56%, and a negative predictive value of 95%. CONCLUSION: In our study, the sensitivity was 97% when CT & LWE were performed together; thus we can conclude that CT and LWE can be used together to select the treatment method. Although in our study, the surgical indications in abdominal stab wound patients is not sufficient, our results showed a higher rate of non-therapeutic surgery compared to previous studies. Therefore, more research is needed to prevent unnecessary laparotomies in hemodynamically-stable patients without symptoms.

Hemothorax Without Injury of the Pleural Cavity due to Diaphragmatic and Liver Laceration Caused by a Right Upper Anterior Chest Stab Wound

A hemothorax usually occur, due to injuries to the intercostal and great vessels, pulmonary damage, and sometimes fractured ribs. We report a case in which the hemothorax that occurred, neither intrathoracic injury nor injury to internal thoracic vessels and organs, via lacerated diaphragmatic and liver laceration due to a right upper part of anterior chest stab injury caused by a sharp object. The patient's general conditions gradually worsened, so chest and abdominal computed tomogram were taken. The abdominal computed tomogram revealed diaphragmatic injuries and bleeding from the lacerated liver. We performed an exploratory laparotomy to control the bleeding from the lacerated liver with simple primary sutures. In addition exploration was performed in the right pleural space through the lacerated diaphragm with a thoracoscopic instrument. There were no bleeding foci in the right pleural space, the vessels, or the lung on the thoracoscopic video. Closure of the lacerated diaphragm was achieved with simple, primary sutures. The postoperative course of the patient was uneventful, and the patient was discharged.

Transection of the Spinal Cord Following Anterior Cervical Stab Injury: A Case Report

Stab wounds to the neck with transection of the cervical spinal cord and complete paraplegia in combination with penetrating injury to the trachea and esophagus are extremely uncommon, and optimal treatment remains unclear. We report an unusual case of stab wound of the anterior neck with a penetrating injury to the trachea and esophagus and transection of the spinal cord at the C7-T1 level. Tracheoplasty and esophageal primary suture were performed by the thoracic surgeons. We regularly followed up the patient with the cervical spinal lesion, because there was neither definite mechanical spinal instability nor CSF leakage. Moreover, there was a possibility of the aggravation of mediastinitis. The postoperative course of the patient was uneventful without a CSF leak or a wound infection. Nineteen months after the operation, the patient had no complain of nuchal pain or the limitation of motion of the neck. There was no definite cervical instability. However, no neurological improvement has been reported either.

CSF Leak and Pneumocephalus Caused by Neck Stab Wound / 대한이비인후과학회지

Pneumocephalus is defined as the presence of air within the cranial cavity. Trauma such as automobile accidents, motorcycle accidents, and missile injuries is the most common cause of pneumocephalus. There have previously been four reported cases of pneumocephalus following stab wounds to the neck in the English literature. We present an unusual case of pneumocephalus following a neck stab wound with a review of the literatures.

Fetal Head Injury due to Penetrating Abdominal Stab Wound in a 31 Weeks Pregnant Woman / 대한주산의학회잡지

Penetrating trauma in a fetus is uncommon but may cause potentially life-threatening injuries. We experienced a case of preterm infant who delivered by C-section and showed two deep laceration wounds on face, facial nerve palsy, skull fracture and intracranial hemorrhage due to penetrating injury of an abdominal stab wound in a 31 weeks pregnant woman.

Tricuspid Valve Repair for Tricuspid Valve Insufficiency Following a Cardiac Stab Injury / 대한흉부외과학회지

A 51-year-old male was admitted three month previously with a cardiac stab injury and he underwent direct cardiac repair. He had no problem after this event. He complained of dyspnea that started 2 months after the original injury. Echocardiography showed severe tricuspid regurgitation and so, chordac replacement and ring annuloplasty was performed. Herein we report on a case of tricuspid valve repair for treating tricuspid insufficiency following a cardiac stab injury.

A Clinical Analysis of Abdominal Stab Injuries

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.