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

G. A. Gomez, R. Alvarez, G. Plasencia, M. Echenique, J. J. Vopal, Patricia M Byers, D. B. Dove, D. J. Kreis

Research output: Contribution to journalArticle

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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 languageEnglish
Pages (from-to)1-5
Number of pages5
JournalJournal of Trauma
Volume27
Issue number1
StatePublished - Apr 14 1987

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Peritoneal Lavage
Wounds and Injuries
Abdominal Injuries
Laparotomy
Autopsy
Prospective Studies
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Gomez, G. A., Alvarez, R., Plasencia, G., Echenique, M., Vopal, J. J., Byers, P. M., ... Kreis, D. J. (1987). Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment. Journal of Trauma, 27(1), 1-5.

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 journalArticle

Gomez, GA, Alvarez, R, Plasencia, G, Echenique, M, Vopal, JJ, Byers, PM, Dove, DB & Kreis, DJ 1987, 'Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment', Journal of Trauma, vol. 27, no. 1, pp. 1-5.
Gomez GA, Alvarez R, Plasencia G, Echenique M, Vopal JJ, Byers PM et al. Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment. Journal of Trauma. 1987 Apr 14;27(1):1-5.
Gomez, G. A. ; Alvarez, R. ; Plasencia, G. ; Echenique, M. ; Vopal, J. J. ; Byers, Patricia M ; Dove, D. B. ; Kreis, D. J. / Diagnostic peritoneal lavage in the management of blunt abdominal trauma : A reassessment. In: Journal of Trauma. 1987 ; Vol. 27, No. 1. pp. 1-5.
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