Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment

Gerardo A. Gomez; Rafael Alvarez; Gustavo Plasencia; Miguel Echenique; James J. Vopal; Patricia Byers; Ennis B. Dove; David J. Kreis

doi:10.1097/00005373-198701000-00001

Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment

Gerardo A. Gomez, Rafael Alvarez, Gustavo Plasencia, Miguel Echenique, James J. Vopal, Patricia Byers, Ennis B. Dove, David J. Kreis

Surgery

Research output: Contribution to journal › Article

45 Scopus citations

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 (US)
Pages (from-to)	1-5
Number of pages	5
Journal	Journal of Trauma - Injury, Infection and Critical Care
Volume	27
Issue number	1
DOIs	https://doi.org/10.1097/00005373-198701000-00001
State	Published - Jan 1987

ASJC Scopus subject areas

Surgery
Critical Care and Intensive Care Medicine

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Gomez, G. A., Alvarez, R., Plasencia, G., Echenique, M., Vopal, J. J., Byers, P., Dove, E. B., & Kreis, D. J. (1987). Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment. Journal of Trauma - Injury, Infection and Critical Care, 27(1), 1-5. https://doi.org/10.1097/00005373-198701000-00001

Diagnostic peritoneal lavage in the management of blunt abdominal trauma : A reassessment. / Gomez, Gerardo A.; Alvarez, Rafael; Plasencia, Gustavo; Echenique, Miguel; Vopal, James J.; Byers, Patricia; Dove, Ennis B.; Kreis, David J.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 27, No. 1, 01.1987, p. 1-5.

Research output: Contribution to journal › Article

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