Non-therapeutic operations for penetrating trauma: early morbidity and mortality

Br J Surg. 1993 Jul;80(7):860-1. doi: 10.1002/bjs.1800800716.

Abstract

A prospective study was carried out to assess the incidence and type of complications after non-therapeutic operations for penetrating trauma. A total of 372 operations were performed on 368 patients with penetrating injuries to the abdomen (240 procedures), chest (49), neck (48) and extremities (35). There were 46 negative or non-therapeutic operations. The incidence of major complications directly related to anaesthesia or operation in this group of patients was 4 percent (two patients). The operation might have contributed to a further three major complications. The mean hospital stay for patients undergoing uncomplicated non-therapeutic operation was 4.1 days; for those with complications it was 21.2 days. It is concluded that non-therapeutic operations for penetrating trauma carry a significant morbidity rate. A policy of selective conservatism is advocated.

MeSH terms

  • Abdominal Injuries / surgery
  • Adult
  • Female
  • Humans
  • Incidence
  • Laparotomy
  • Length of Stay
  • Male
  • Middle Aged
  • Neck Injuries
  • Postoperative Complications / epidemiology*
  • Prospective Studies
  • Thoracic Injuries / surgery
  • Thoracotomy
  • Wounds, Penetrating / surgery*