Abstract |
The aim of this study is to declare our experience and to identify the important factors that influence the mortality and morbidity in patients with combat-related penetrating wounds of the abdomen (CR-PWA) with major venous vessel injuries. Twenty-six wounded with combat-related injuries of major abdominal venous vessels, admitted in the University Clinic cardiovascular surgery department during the period from 1 August 1991 through 30 October 1995, were analyzed. Patients with concomitant injured arteries and extra-abdominal injuries (n=150; 85.2%) were excluded from this study. The Penetrating Abdominal Trauma Index (PATI) score for each patient was calculated. Fifteen patients (57.69%) sustained with PATI score greater than 25 died. The mean duration of hospitalization was 16 days (range 0-86). The average hospitalization time for those surviving their complications was 17 days with a PATI of 25 or less, and 43 days with a score more than 25. Three clinical assessments of the long-term outcome were performed after a median of about 3, 5 and 10 years, respectively. Surviving patients (42.31%) were symptom free and had normal Duplex scans as well as no other surgical related complications. Higher PATI scores, postoperative complications and reoperations exert an unfavorable effect on patient outcome.
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Authors | Narcis Hudorovic |
Journal | Interactive cardiovascular and thoracic surgery
(Interact Cardiovasc Thorac Surg)
Vol. 7
Issue 1
Pg. 158-60
(Feb 2008)
ISSN: 1569-9285 [Electronic] England |
PMID | 18006557
(Publication Type: Journal Article)
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Topics |
- Abdominal Injuries
(mortality, surgery)
- Adolescent
- Adult
- Croatia
- Female
- Follow-Up Studies
- Humans
- Iliac Vein
(injuries)
- Male
- Mesenteric Veins
(injuries)
- Middle Aged
- Renal Veins
(injuries)
- Retrospective Studies
- Splenic Vein
(injuries)
- Survival Rate
- Treatment Outcome
- Vascular Surgical Procedures
(methods)
- Veins
(injuries)
- Vena Cava, Inferior
(injuries)
- Warfare
- Wounds, Penetrating
(mortality, surgery)
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