Assessment and surgical management of patients with abdominal trauma and penetrating injuries
PDF (Português (Brasil))

Keywords

Abdominal Trauma; Penetrating Injury; Surgical Management.

How to Cite

Cardoso, R. H. da S., Pontes, M. C. L., Miranda, M. F. F. de, Rocha, S. C. dos S., Correia, J. P. dos S., Mendes, E. M., Monteiro, M. G. F., Santana, L. M. C. B. S., Ribeiro, L. L. P. A., Souza, A. J. A. A. de, Moraes, V. M. C. de, Silva, F. M. da C. e, Porfírio, P. R. de M., Lisi , F. C., Coutinho, I. M. de A., & Teles, J. T. M. (2024). Assessment and surgical management of patients with abdominal trauma and penetrating injuries. Brazilian Journal of Implantology and Health Sciences, 6(2), 2084–2105. https://doi.org/10.36557/2674-8169.2024v6n2p2084-2105

Abstract

Abdominal trauma and penetrating injuries are significant causes of morbidity and mortality worldwide, requiring a prompt and effective response from healthcare professionals. With the increase in urban violence, motor vehicle accidents, and traumatic events, proper management of these conditions becomes increasingly crucial to ensure the best chance of recovery for patients. For this review, searches were conducted in biomedical databases, including PubMed, Lilacs, and Scielo, using search terms related to abdominal trauma and penetrating injuries. Clinical studies, systematic reviews, and meta-analyses investigating the assessment and surgical management of these conditions were included. Data were extracted and analyzed for methodological quality, major surgical interventions performed, and associated clinical outcomes. The key findings of this review include the description of initial assessment findings, intraoperative findings, surgical interventions performed, intra and postoperative complications, long-term functional outcomes, and economic impact of surgical management of patients with abdominal trauma and penetrating injuries. The surgical management of patients with abdominal trauma and penetrating injuries is complex and challenging, requiring a multidisciplinary and diligent approach to ensure the best possible outcomes. This review highlights the importance of accurate initial assessment, timely surgical intervention, and adequate postoperative care to optimize clinical outcomes and quality of life for these patients.

https://doi.org/10.36557/2674-8169.2024v6n2p2084-2105
PDF (Português (Brasil))

References

Lima SO, Cabral FLD, Pinto Neto AF, Mesquita FNB, Feitosa MFG, Santana VR de. Avaliação epidemiológica das vítimas de trauma abdominal submetidas ao tratamento cirúrgico. Rev Col Bras Cir [Internet]. 2012Jul;39(4):302–6. Available from: https://doi.org/10.1590/S0100-69912012000400010

Ribas-Filho JM, Malafaia O, Fouani MM, Justen M da S, Pedri LE, Silva LMA da, et al.. Trauma abdominal: estudo das lesões mais frequentes do sistema digestório e suas causas. ABCD, arq bras cir dig [Internet]. 2008Oct;21(4):170–4. Available from: https://doi.org/10.1590/S0102-67202008000400004

Stalhschmidt CMM, Formighieri B, Lubachevski FL. Controle de danos no trauma abdominal e lesões associadas: experiência de cinco anos em um serviço de emergência. Rev Col Bras Cir [Internet]. 2006Jul;33(4):215–9. Available from: https://doi.org/10.1590/S0100-69912006000400004

MARTINS FILHO EL, MAZEPA MM, GUETTER CR, PIMENTEL SK. The role of computerized tomography in penetrating abdominal trauma. Rev Col Bras Cir [Internet]. 2018;45(1):e1348. Available from: https://doi.org/10.1590/0100-6991e-20181348

Lima SO, Cabral FLD, Pinto Neto AF, Mesquita FNB, Feitosa MFG, Santana VR de. Avaliação epidemiológica das vítimas de trauma abdominal submetidas ao tratamento cirúrgico. Rev Col Bras Cir [Internet]. 2012Jul;39(4):302–6. Available from: https://doi.org/10.1590/S0100-69912012000400010

Von Bahten LC, Smaniotto B, Kondo W, Vasconcelos CN de, Rangel M, Laux GL. Papel da laparoscopia no trauma abdominal penetrante. Rev Col Bras Cir [Internet]. 2005May;32(3):127–31. Available from: https://doi.org/10.1590/S0100-69912005000300005

PIMENTEL SK, SAWCZYN GV, MAZEPA MM, ROSA FGGD, NARS A, COLLAÇO IA. Risk factors for mortality in blunt abdominal trauma with surgical approach. Rev Col Bras Cir [Internet]. 2015Jul;42(4):259–64. Available from: https://doi.org/10.1590/0100-69912015004011

LEONARDI L, FONSECA MK, BALDISSERA N, CUNHA CEBD, PETRILLO YTM, DALCIN RR, et al.. Predictive factors of mortality in damage control surgery for abdominal trauma. Rev Col Bras Cir [Internet]. 2022;49:e20223390. Available from: https://doi.org/10.1590/0100-6991e-20223390-en

Edelmuth RCL, Buscariolli Y dos S, Ribeiro Junior MAF. Cirurgia para controle de danos: estado atual. Rev Col Bras Cir [Internet]. 2013Mar;40(2):142–51. Available from: https://doi.org/10.1590/S0100-69912013000200011

OLIVEIRA LGO, TAGLIARI D, BECKER MJ, ADAME T, CRUVINEL NETO J, SPENCER NETTO FAC. Basic ultrasound training assessment in the initial abdominal trauma screening. Rev Col Bras Cir [Internet]. 2018;45(1):e1556. Available from: https://doi.org/10.1590/0100-6991e-20181556

Prado LFA, Alves Júnior A, Cardoso E de S, Andrade RS, Andrade RS, Fernandes MK. Pressão intra-abdominal em pacientes com trauma abdominal. Rev Col Bras Cir [Internet]. 2005Mar;32(2):83–9. Available from: https://doi.org/10.1590/S0100-69912005000200008

Fonseca-Neto OCL da, Ehrhardt R, Miranda AL de. Estudo da morbimortalidade em pacientes com trauma hepático. ABCD, arq bras cir dig [Internet]. 2013Apr;26(2):129–32. Available from: https://doi.org/10.1590/S0102-67202013000200012

LEONARDI L, FONSECA MK, BALDISSERA N, CUNHA CEBD, PETRILLO YTM, DALCIN RR, et al.. Predictive factors of mortality in damage control surgery for abdominal trauma. Rev Col Bras Cir [Internet]. 2022;49:e20223390. Available from: https://doi.org/10.1590/0100-6991e-20223390-en

Rezende-Neto JB, Vieira Jr. HM, Rodrigues BDL, Rizoli S, Nascimento B, Fraga GP. Management of stab wounds to the anterior abdominal wall. Rev Col Bras Cir [Internet].2014Jan;41(1):075–9.Availablefrom: https://doi.org/10.1590/S0100-69912014000100015

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Rômulo Henrique da Silva Cardoso, Maria Cibele Lima Pontes, Mateus Felipe Fernandes de Miranda, Soraia Costa dos Santos Rocha, João Paulo dos Santos Correia, Elayne Magalhães Mendes, Marina Ganem Ferreira Monteiro, Laura Marina Ceciliano Bomfim Souto Santana, Lucas Loiola Ponte Albuquerque Ribeiro, Anna Júlia Arraes Alves de Souza, Vitoria Miranda Cardoso de Moraes, Fernanda Monteiro da Costa e Silva, Paulo Rogério de Macedo Porfírio, Fernando Chaguri Lisi , Isa Maria de Amorim Coutinho, José Thayrone Moura Teles