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Penetrating wounds of the back and flank : analysis of 77 cases

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dc.contributor.authorJiménez, Hernán
dc.contributor.authorTawil, Mauricio
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
dc.contributor.javerianateacherHenao Pérez, Francisco Javier
dc.date.accessioned2020-11-08T14:52:20Z
dc.date.available2020-11-08T14:52:20Z
dc.date.created1987
dc.description.abstractenglishTo determine the factors that allow early recognition of injuries to the intrathoracic and intra-abdominal organs in patients with penetrating wounds to the lower thorax and abdomen with site of entrance located in the back or flanks, we retrospectively analyzed the cases of 77 such patients. There were 65 stab wounds (85%) and 12 gunshot wounds (15%). The injuries were confined to the abdomen in 46 (60%); 39 were stab wounds and seven were gunshot wounds. The wounds were confined to the chest in 24 patients (31%) and involved both the chest and abdomen in seven cases (9%). Of the 53 abdominal wounds, 21 necessitated celiotomy; in 20 of them, an intra-abdominal organ was found injured, and one patient died (1.9%). Of the 24 injuries confined to the chest, only one patient required emergency thoracotomy due to massive hemorrhage; all 24 patients survived. All of the seven thoracoabdominal injuries, two produced by gunshot and five by stabbing, necessitated celiotomy. Most patients with gunshot wounds to the back and flanks require celiotomy, but a selective therapy can be safely used in patients with stab wounds. The rate of negative exploratory celiotomy was less than 5%; the mortality was 1.3%.spa
dc.description.indexingRevista Internacional - No indexadaspa
dc.description.quartilescopusQ3spa
dc.description.quartilewosQ4spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://pubmed.ncbi.nlm.nih.gov/3798182/spa
dc.identifier.doihttps://doi.org/10.1097/00007611-198701000-00005spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn0038-4348 / 1541-8243 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/51636
dc.language.isoengspa
dc.relation.citationendpage25spa
dc.relation.citationissue1spa
dc.relation.citationstartpage21spa
dc.relation.citationvolume80spa
dc.relation.ispartofjournalSouthern Medical Journalspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.titlePenetrating wounds of the back and flank : analysis of 77 casesspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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