Abstract

LAFFITA LABANINO, Wilson et al. Characterization of abdominal trauma in patients treated at Multiperfil Clinic. Rev Cubana Cir [online]. 2013, vol.52, n.3, pp.194-204. ISSN 0034-7493.

Objective: To characterize abdominal trauma treated at Multiperfil Clinic in Luanda, Angola, from January 2010 to June 2012. Methods: A descriptive, prospective and cross-sectional study was performed in 147 patients with abdominal trauma, who were admitted to Multiperfil Clinic in Luanda, Angola from January 2010 to June 2012. Results: The abdominal trauma was classified into open (38 %) and closed (61.9 %), being the last one predominant. The most affected organs were liver (37.6 %) followed by the small intestine( 25.8 %). The surgical procedure was applied to 57.1 % of patients of whom 36.7% suffered open traumas. Therapeutic laparotomy was performed in 39.4 % of cases, followed by damage control surgery in 14.2 %. Hypovolemic shock prevailed (17 %); 12.2 % of patients died and 5.4% of this amount within the first 24 hours. Especially in older than 50 years (66.6 %) with signs of shock at admission (100 %) a GCS less than 8 (88.8 %), and the ISS over 25 (100 %). Conclusions: Abdominal trauma is common in the population of Luanda; diagnosis and treatment are difficult because of the variety and number of lesions, presenting occasionally fatal complications that have an impact on the mortality rate.

Keywords : trauma; abdomen; surgery; conservative.

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