Study of 255 Laparotomies for Abdominal Injuries

Abstract

Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. We retrospectively reviewed 255 laparotomies for abdominal injuries admitted to trauma department, Tripoli Central Hospital in a period of 2 years 1998-1999. The age group affected and the cause of trauma, our results match well with others, sex incidence in our study, 90% Males and only 10% Female, other studies 70% Males and 30% Females. The rate of negative laparotomies is 9%. The spleen was the most frequently injured organs 31.3% followed by liver injury 21.9%. About 84% of patients operated within 6 hours from the time injury. The comparison between the suspected injuries and finding at surgery showed that clinical decision alone is not very accurate and we need to make use of the available investigation. This study showed a lacking of good case note documentation, and the very limited use of available investigative procedures in the management of abdominal injuries.