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Impact of Genitourinary Injuries on Patients Requiring an Emergency Laparotomy for Trauma

Introduction In patients having emergency abdominal surgery for trauma, the presence of urologic injury tends to increase mortality and morbidity. Methods This retrospective study evaluated patients requiring emergency surgery for abdominal trauma at a Level 1 Trauma Center over 30 years (1980-2010)...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-01, Vol.12 (1), p.e6826-e6826
Main Authors: Zimmerman, W Britt, Baylor, 3rd, Alfred E, Hall Zimmerman, Lisa, Dolman, Heather, Ciullo, Jeremy R, Dornbush, Jessica, Isaacson, Andrew R, Mansour, Roozbeh, Wilson, Robert F, Tyburski, James G
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Language:English
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Summary:Introduction In patients having emergency abdominal surgery for trauma, the presence of urologic injury tends to increase mortality and morbidity. Methods This retrospective study evaluated patients requiring emergency surgery for abdominal trauma at a Level 1 Trauma Center over 30 years (1980-2010). Special attention was given to patients with concomitant genitourinary (GU) injuries. Results Of 1105 patients requiring an emergency laparotomy for trauma, 242 (22%) had urologic injuries including kidney 178 (16%), ureter 47 (4%), and bladder 46 (4%). Of the 242 patients, 50 (20%) died early (
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.6826