Abstract
In order to reassess the value of diagnostic peritoneal lavage (DPL) in patients with blunt abdominal trauma, we conducted a prospective study over a 15-month period involving 138 patients. There were 29 (28.3%) patients with positive DPL and 103 (71.7%) with negative DPL in this series. Of the 29 patients with positive DPL, 28 (96.5%) were found to have significant intra abdominal injuries; 27 by exploratory laparotomy and in one case at autopsy. One patient with a grossly positive DPL had a negative exploratory laparatomy (3.4% false positive rate). All 109 patients with negative DPL were admitted. In only one case a significant intra-abdominal injury was demonstrated (0.9% false negative rate). The overall mortality in this series was 11.6% and there were no complications related to the DPL. Our results suggest that DPL is indeed an accurate indicator of significant intra-abdominal injuries in patients with blunt abdominal trauma.
| Original language | English |
|---|---|
| Pages (from-to) | 1-5 |
| Number of pages | 5 |
| Journal | Journal of Trauma |
| Volume | 27 |
| Issue number | 1 |
| State | Published - Apr 14 1987 |
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ASJC Scopus subject areas
- Surgery
Cite this
Diagnostic peritoneal lavage in the management of blunt abdominal trauma : A reassessment. / Gomez, G. A.; Alvarez, R.; Plasencia, G.; Echenique, M.; Vopal, J. J.; Byers, Patricia M; Dove, D. B.; Kreis, D. J.
In: Journal of Trauma, Vol. 27, No. 1, 14.04.1987, p. 1-5.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnostic peritoneal lavage in the management of blunt abdominal trauma
T2 - A reassessment
AU - Gomez, G. A.
AU - Alvarez, R.
AU - Plasencia, G.
AU - Echenique, M.
AU - Vopal, J. J.
AU - Byers, Patricia M
AU - Dove, D. B.
AU - Kreis, D. J.
PY - 1987/4/14
Y1 - 1987/4/14
N2 - In order to reassess the value of diagnostic peritoneal lavage (DPL) in patients with blunt abdominal trauma, we conducted a prospective study over a 15-month period involving 138 patients. There were 29 (28.3%) patients with positive DPL and 103 (71.7%) with negative DPL in this series. Of the 29 patients with positive DPL, 28 (96.5%) were found to have significant intra abdominal injuries; 27 by exploratory laparotomy and in one case at autopsy. One patient with a grossly positive DPL had a negative exploratory laparatomy (3.4% false positive rate). All 109 patients with negative DPL were admitted. In only one case a significant intra-abdominal injury was demonstrated (0.9% false negative rate). The overall mortality in this series was 11.6% and there were no complications related to the DPL. Our results suggest that DPL is indeed an accurate indicator of significant intra-abdominal injuries in patients with blunt abdominal trauma.
AB - In order to reassess the value of diagnostic peritoneal lavage (DPL) in patients with blunt abdominal trauma, we conducted a prospective study over a 15-month period involving 138 patients. There were 29 (28.3%) patients with positive DPL and 103 (71.7%) with negative DPL in this series. Of the 29 patients with positive DPL, 28 (96.5%) were found to have significant intra abdominal injuries; 27 by exploratory laparotomy and in one case at autopsy. One patient with a grossly positive DPL had a negative exploratory laparatomy (3.4% false positive rate). All 109 patients with negative DPL were admitted. In only one case a significant intra-abdominal injury was demonstrated (0.9% false negative rate). The overall mortality in this series was 11.6% and there were no complications related to the DPL. Our results suggest that DPL is indeed an accurate indicator of significant intra-abdominal injuries in patients with blunt abdominal trauma.
UR - http://www.scopus.com/inward/record.url?scp=0023117442&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023117442&partnerID=8YFLogxK
M3 - Article
C2 - 3806707
AN - SCOPUS:0023117442
VL - 27
SP - 1
EP - 5
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 1
ER -