Manejo quirúrgico del trauma abdominal en los últimos 5 años en el Hospital Vozandes Quito / Surgical management of abdominal trauma in the last 5 years at Hospital Vozandes Quito

RESUMEN

En vista del incremento de la incidencia del trauma abdominal en el servicio de cirugía, hemos decidido evaluar nuestro trabajo quirúrgico en los últimos años, determinar la incidencia, tipo de lesión, lesiones asociadas, morbilidad y tipo de tratamiento. Es un estudio, retrospectivo, comparativo y analítico. Se analizaron los expedientes de pacientes con diagnóstico de trauma abdominal quienes ingresaron a la institución entre enero de 1999 a mayo del 2004, se revisaron 103 expedientes de pacientes, de los cuales 77 (75%) fueron del sexo masculino, 26 (25%) fueron del sexo femenino. Se realizaron 17 procedimientos laparoscópicos (16.5%) y 86 laparotomías (83.5%). Se evidenciaron 39 heridas por arma de fuego (38%), 9 heridas por arma blanca (8.5%), 51 traumas abdominales contusos (49.5%) y 4 caídas de altura (5%). La mortalidad es del 6.79%.

ABSTRACT

In view of the increased incidence of abdominal trauma in the surgery department, we have decided to evaluate our surgical work in recent years, to determine the incidence, type of injury, associated injuries, morbidity and type of treatment. It is a retrospective, comparative and analytical study. The records of patients diagnosed with abdominal trauma who entered the institution between January 1999 to May 2004 were analyzed, 103 patient records were reviewed, of which 77 (75%) were male, 26 (25%) were female. 17 laparoscopic procedures were performed (16.5%) and 86 laparotomies (83.5%). There were 39 firearm injuries (38%), 9 stab wounds (8.5%), 51 blunt abdominal trauma (49.5%) and 4 falls from height (5%). Mortality is 6.79%.