Assuntos
Traumatismos Abdominais/cirurgia , Ferimentos Penetrantes/cirurgia , Traumatismos Abdominais/complicações , Traumatismos Abdominais/mortalidade , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Fatores de Tempo , Ferimentos Penetrantes/complicações , Ferimentos Penetrantes/mortalidadeRESUMO
During the past 25 years, great progress has been made in saving patients with serious cardiac injuries. This study is based on nine consecutive cases of penetrating wounds to the heart treated successfully by surgical intervention at a community hospital with no facilities for cardiopulmonary bypass. Early surgery is advocated for patients suspected of having penetrating injury of the heart.
Assuntos
Traumatismos Cardíacos/cirurgia , Ferimentos Penetrantes/cirurgia , Adulto , Procedimentos Cirúrgicos Cardíacos , Feminino , Hospitais Comunitários , Humanos , Masculino , Métodos , Técnicas de Sutura , Ferimentos por Arma de Fogo/cirurgia , Ferimentos Perfurantes/cirurgiaRESUMO
This article reviews our experience with 403 cases of stab wounds of the abdomen, with emphasis on our policy of selective management. Forty-six percent (187) of the patients were operated on immediately because of clinical findings. Fifty-four percent (216 patients) were treated conservatively after initial evaluation, and only 4% (16 patients) required subsequent surgical intervention, with no mortalities. The overall morbidity was 9.2%, with a 1.6% mortality in the operative group. With more than 20 years of experience in the management of stab wounds, we found the selective approach to be safe and reliable.
