Matches in SemOpenAlex for { <https://semopenalex.org/work/W2006079343> ?p ?o ?g. }
Showing items 1 to 100 of
100
with 100 items per page.
- W2006079343 endingPage "246" @default.
- W2006079343 startingPage "242" @default.
- W2006079343 abstract "Background It has previously been shown that 98% of gunshot wounds that penetrate the peritoneal cavity cause injuries that require surgical repair. Many gunshot wounds in the vicinity of the abdomen (GSWA) may actually be tangential and not penetrate the peritoneal cavity at all. Patients with such wounds may not require laparotomy. It is important to determine which patients with a potential tangential GSWA actually have penetration of the peritoneal cavity to minimize negative laparotomies. This study was undertaken to determine the sensitivity, specificity, and accuracy of diagnostic peritoneal lavage (DPL) in the determination of peritoneal penetration for patients who sustain GSWA. Methods DPL was performed for all patients who had sustained a GSWA in whom peritoneal penetration was unclear, i.e., patients whose GSWA appeared to be tangential, thoracoabdominal, or transpelvic and for whom a clear indication for laparotomy (shock, peritonitis, etc.) did not exist. Our threshold for a positive DPL was 10,000 red blood cells (RBC)/mm3. A prospective data base was kept with information on the location of the wound, DPL result, findings at laparotomy, and outcome. Results During a 4-year period, 429 consecutive DPLs were performed for GSWA at our urban Level I trauma center. One hundred fifty DPLs were positive, with more than 10,000 RBC/mm3. Six of these patients were found to have no peritoneal penetration at laparotomy (false-positive). The remaining 144 patients with positive DPLs were found to have operative injuries (true-positive). Of the 279 patients with DPL counts less than 10,000 RBC/mm3, 2 developed indications for laparotomy and were found to have intraperitoneal injuries (false-negative). The remaining 277 patients had no peritoneal injuries (true-negative). This was demonstrated either by laparotomy done for another indication (n = 7) or by uneventful inpatient observation for 24 hours (n = 270). The sensitivity, specificity, and accuracy of DPL in determining peritoneal penetration in GSWA is therefore 99, 98, and 98%, respectively. Conclusion For patients who sustain GSWA for whom peritoneal penetration is unclear, DPL is a sensitive, specific, and accurate test to determine the need for laparotomy. It remains our test of choice when confronted with these patients." @default.
- W2006079343 created "2016-06-24" @default.
- W2006079343 creator A5003727156 @default.
- W2006079343 creator A5006736035 @default.
- W2006079343 creator A5020996716 @default.
- W2006079343 creator A5038785001 @default.
- W2006079343 creator A5052757275 @default.
- W2006079343 creator A5062499654 @default.
- W2006079343 date "1997-08-01" @default.
- W2006079343 modified "2023-09-27" @default.
- W2006079343 title "A Method of Determining Peritoneal Penetration in Gunshot Wounds to the Abdomen" @default.
- W2006079343 cites W1968257053 @default.
- W2006079343 cites W1970152514 @default.
- W2006079343 cites W1976593554 @default.
- W2006079343 cites W1983461750 @default.
- W2006079343 cites W1985544534 @default.
- W2006079343 cites W1990002829 @default.
- W2006079343 cites W2000404838 @default.
- W2006079343 cites W2003622107 @default.
- W2006079343 cites W2007129972 @default.
- W2006079343 cites W2028263847 @default.
- W2006079343 cites W2060730284 @default.
- W2006079343 cites W2063907869 @default.
- W2006079343 cites W2070198763 @default.
- W2006079343 cites W2072632835 @default.
- W2006079343 cites W2095275700 @default.
- W2006079343 cites W2106738054 @default.
- W2006079343 cites W2121559795 @default.
- W2006079343 cites W2143067386 @default.
- W2006079343 cites W2145585722 @default.
- W2006079343 doi "https://doi.org/10.1097/00005373-199708000-00006" @default.
- W2006079343 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9291367" @default.
- W2006079343 hasPublicationYear "1997" @default.
- W2006079343 type Work @default.
- W2006079343 sameAs 2006079343 @default.
- W2006079343 citedByCount "26" @default.
- W2006079343 countsByYear W20060793432014 @default.
- W2006079343 crossrefType "journal-article" @default.
- W2006079343 hasAuthorship W2006079343A5003727156 @default.
- W2006079343 hasAuthorship W2006079343A5006736035 @default.
- W2006079343 hasAuthorship W2006079343A5020996716 @default.
- W2006079343 hasAuthorship W2006079343A5038785001 @default.
- W2006079343 hasAuthorship W2006079343A5052757275 @default.
- W2006079343 hasAuthorship W2006079343A5062499654 @default.
- W2006079343 hasConcept C105698618 @default.
- W2006079343 hasConcept C127413603 @default.
- W2006079343 hasConcept C141071460 @default.
- W2006079343 hasConcept C188816634 @default.
- W2006079343 hasConcept C2777379000 @default.
- W2006079343 hasConcept C2778165595 @default.
- W2006079343 hasConcept C2778536324 @default.
- W2006079343 hasConcept C2779983558 @default.
- W2006079343 hasConcept C2780199535 @default.
- W2006079343 hasConcept C2780778865 @default.
- W2006079343 hasConcept C2780913535 @default.
- W2006079343 hasConcept C2780936613 @default.
- W2006079343 hasConcept C2781339890 @default.
- W2006079343 hasConcept C2993366118 @default.
- W2006079343 hasConcept C42475967 @default.
- W2006079343 hasConcept C71924100 @default.
- W2006079343 hasConcept C80107235 @default.
- W2006079343 hasConceptScore W2006079343C105698618 @default.
- W2006079343 hasConceptScore W2006079343C127413603 @default.
- W2006079343 hasConceptScore W2006079343C141071460 @default.
- W2006079343 hasConceptScore W2006079343C188816634 @default.
- W2006079343 hasConceptScore W2006079343C2777379000 @default.
- W2006079343 hasConceptScore W2006079343C2778165595 @default.
- W2006079343 hasConceptScore W2006079343C2778536324 @default.
- W2006079343 hasConceptScore W2006079343C2779983558 @default.
- W2006079343 hasConceptScore W2006079343C2780199535 @default.
- W2006079343 hasConceptScore W2006079343C2780778865 @default.
- W2006079343 hasConceptScore W2006079343C2780913535 @default.
- W2006079343 hasConceptScore W2006079343C2780936613 @default.
- W2006079343 hasConceptScore W2006079343C2781339890 @default.
- W2006079343 hasConceptScore W2006079343C2993366118 @default.
- W2006079343 hasConceptScore W2006079343C42475967 @default.
- W2006079343 hasConceptScore W2006079343C71924100 @default.
- W2006079343 hasConceptScore W2006079343C80107235 @default.
- W2006079343 hasIssue "2" @default.
- W2006079343 hasLocation W20060793431 @default.
- W2006079343 hasLocation W20060793432 @default.
- W2006079343 hasOpenAccess W2006079343 @default.
- W2006079343 hasPrimaryLocation W20060793431 @default.
- W2006079343 hasRelatedWork W130949203 @default.
- W2006079343 hasRelatedWork W1992366981 @default.
- W2006079343 hasRelatedWork W2006079343 @default.
- W2006079343 hasRelatedWork W2048631583 @default.
- W2006079343 hasRelatedWork W2344179768 @default.
- W2006079343 hasRelatedWork W2435796526 @default.
- W2006079343 hasRelatedWork W2439448150 @default.
- W2006079343 hasRelatedWork W2907347095 @default.
- W2006079343 hasRelatedWork W3200522082 @default.
- W2006079343 hasRelatedWork W4224988021 @default.
- W2006079343 hasVolume "43" @default.
- W2006079343 isParatext "false" @default.
- W2006079343 isRetracted "false" @default.
- W2006079343 magId "2006079343" @default.
- W2006079343 workType "article" @default.