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Socio-economic, clinical, and surgical factors related to the management of penetrating abdominal trauma in a high-complexity institution in the Colombian Caribbean: 3-year experience


Authors

  • Juan Manuel Duque-Maya Universidad de Cartagena
  • Iván David Lozada-Martínez Universidad de Cartagena
  • Óscar Daniel Hernández-Anaya Universidad de Cartagena
  • Andrés Elías Llamas-Nieves Universidad de Cartagena
  • Felipe Andrés Cárdenas-Castañeda Universidad de Cartagena
  • José Andrés Cortés-Buelvas Universidad de Cartagena
  • Yelson Alejandro Picón-Jaimes Centro de Investigaciones Médico-Quirúrgicas, St Mary’s Medical Group
  • Amileth Suárez-Causado Grupo Prometheus y Biomedicina Aplicada a las Ciencias Clínicas. Universidad de Cartagena

DOI:

https://doi.org/10.22517/25395203.24975

Keywords:

Wounds and Trauma, Caribbean Region, General Surgery, Mortality

Abstract

Introduction: Trauma is an important cause of mortality worldwide and the fourth cause of death in Colombia. This condition generates morbidity and disability, having a substantial impact on the years of life potentially lost, especially in the younger ages where it is more prevalent.

Objective: To characterize epidemiologically and clinically patients with penetrating abdominal trauma managed surgically.

Materials and methods: Observational cross-sectional retrospective study of patients with penetrating abdominal trauma, surgically managed in a high complexity level hospital between 2016 and 2018, including sociodemographic and clinical variables related to trauma, type of surgical intervention and associated complications.

Results: A total of 115 patients were identified, 94.8% of them were male. The predominant mechanism of injury was by a short stabbing weapon (67.8%). Drug and intoxicant use were found in 43.7% of the cases. The main organs injured were the small intestine (39.1%), small vessels (20%) and liver (16.5%). The most frequent types of repairs performed were small bowel repair (22.6%) and small bowel anastomosis (20.9%). The Penetrating Abdominal Trauma Index >25 showed higher hyperlactatemia (80%) and sepsis (50%). Mortality was 3.4%, associated with reoperation and sepsis.

Conclusion: Mortality due to penetrating abdominal trauma in the Colombian Caribbean coast is low. Nine out of ten cases are men, almost half of the cases are related to the consumption of psychoactive substances and the main complications are hyperlactatemia and sepsis.

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Author Biographies

Juan Manuel Duque-Maya, Universidad de Cartagena

Médico.

Especialista en cirugía general.

Iván David Lozada-Martínez, Universidad de Cartagena

Estudiante de medicina. 

Grupo Prometheus y Biomedicina Aplicada a las Ciencias Clínicas, Universidad de Cartagena, Cartagena, Colombia.

Óscar Daniel Hernández-Anaya, Universidad de Cartagena

Estudiante de medicina.

Universidad de Cartagena.

Andrés Elías Llamas-Nieves, Universidad de Cartagena

Estudiante de medicina. 

Universidad de Cartagena. 

Felipe Andrés Cárdenas-Castañeda, Universidad de Cartagena

Estudiante de Medicina.

Universidad de Cartagena.

José Andrés Cortés-Buelvas, Universidad de Cartagena

Estudiante de medicina.

Universidad de Cartagena. 

Yelson Alejandro Picón-Jaimes, Centro de Investigaciones Médico-Quirúrgicas, St Mary’s Medical Group

Médico.

Especialista en Bioética.

Magíster en Bioética. 

Amileth Suárez-Causado, Grupo Prometheus y Biomedicina Aplicada a las Ciencias Clínicas. Universidad de Cartagena

Profesora.

Química farmaceuta.

Especialista en Bioquímica Clínica.

Doctora en Bioquímica y Biología Molecular.

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2022-10-30 — Updated on 2022-12-20

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Duque-Maya, J. M., Lozada-Martínez, I. D., Hernández-Anaya, Óscar D., Llamas-Nieves, A. E., Cárdenas-Castañeda, F. A., Cortés-Buelvas, J. A., Picón-Jaimes, Y. A., & Suárez-Causado, A. (2022). Socio-economic, clinical, and surgical factors related to the management of penetrating abdominal trauma in a high-complexity institution in the Colombian Caribbean: 3-year experience. Revista Médica De Risaralda, 28(2). https://doi.org/10.22517/25395203.24975 (Original work published October 30, 2022)

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