The characteristics and outcomes of penetrating thoracic and abdominal trauma among children

Purpose Trauma is the most important etiology of morbidity and mortality among children. Penetrating injuries to the thorax and abdomen are extremely rare in children. In the present study, we compared the characteristics of patients, management, and outcomes of penetrating thoracic and abdominal tr...

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Bibliographic Details
Published in:Pediatric surgery international 2013-08, Vol.29 (8), p.795-800
Main Authors: Boleken, Mehmet Emin, Cevik, Muazez, Yagiz, Beytullah, Ter, Mehmet, Dorterler, Mustafa Erman, Aksoy, Tugrul Rauf
Format: Article
Language:English
Subjects:
Abdominal Injuries - diagnosis
Abdominal Injuries - therapy
Adolescent
Child
Child, Preschool
Female
Humans
Infant
Male
Medicine
Medicine & Public Health
Original Article
Pediatric Surgery
Pediatrics
Retrospective Studies
Surgery
Thoracic Injuries - diagnosis
Thoracic Injuries - therapy
Treatment Outcome
Wounds, Penetrating - diagnosis
Wounds, Penetrating - therapy
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Summary:Purpose Trauma is the most important etiology of morbidity and mortality among children. Penetrating injuries to the thorax and abdomen are extremely rare in children. In the present study, we compared the characteristics of patients, management, and outcomes of penetrating thoracic and abdominal trauma in children. Materials and methods Data from children who were hospitalized for penetrating injuries of the thorax and abdomen from 2006 to 2012 were evaluated retrospectively. These injuries were evaluated with respect to patient details, clinical presentation, circumstances of trauma, management, and outcomes. Results Eighty-four patients were hospitalized for penetrating injuries to the thorax and abdomen. The mean age was 10.3 ± 3.79 years. Patient injuries comprised 26 gunshots injuries and 58 stabbing injuries. Thirty-one patients were wounded in the thorax, 43 were wounded in the abdomen, and 10 were wounded in both the thorax and abdomen. Thirty-one patients had undergone surgical interventions, while the other 53 were managed conservatively. The mean hospital stay was 4.41 ± 6.84 days. Conclusions The incidences of penetrating abdominal and thoracic trauma did not differ significantly. Penetrating injuries may be successfully managed by conservative therapy.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-013-3339-z