Morbidity of non-therapeutic operations for penetrating abdominal trauma A retrospective study was started to evaluate morbidity associated with non-therapeutic operations for penetrating abdominal trauma. During a 56 months period, 204 operations were performed for penetrating abdominal injuries. Of these operations 66 (32,3%) were nontherapeutic. Complications were noted in half of patients and included: atelectasis – 4,5%, pneumonia – 3%, deep space infection – 4 ,5%, surgical wound infection – 1,5%, prolonged ileus – 7,6%, small bowel obstruction – 1,5%, delirium – 10,6% and others. The average hospital stay for uncomplicated non-therapeutic operations was 6,2±0,33 days, and for those with complications 9,4±0,83 days (p<0,01). We conclude that non-therapeutic operations for penetrating trauma are associated with significant morbidity. Even minor complications significantly increase the length of stay.

A fost demarat un studiu retrospectiv pentru evaluarea complicaţiilor intervenţiilor nonterapeutice pentru plăgi abdominale penetrante. Pe parcursul a 56 luni au fost efectuate 204 laparotomii pentru plăgi abdominale. Dintre ele 66 (32,3%) au fost laparotomii non-terapeutice. Incidente nefaste au fost notate la jumătate dintre ei. Printre ele se regăsesc: atelectazii pulmonare – 4,5%, pneumonie – 3%, colecţii intraabdominale – 4,5%, supuraţii parietale – 1,5%. ileus postoperator – 7,6%, ocluzie intestinală aderenţială – 1,5%, psihoze – 10,6% etc. Durata medie de spitalizare în cazul intervenţiilor cu evoluţie necomplicată este de 6,2±0,33, iar la prezenţa complicaţiilor – 9,4±0,83 zile (p<0,01). Concluzii. Laparotomia non-terapeutică în traumatismul abdominal deschis determină o rată mare de complicaţii. Chiar dacă în mare parte sunt minore determină sporire semnificativă a duratei de spitalizare.