Critical analysis of open peritoneal lavage in blunt abdominal trauma.
Using the generally accepted paracentesis and lavage criteria for laparotomy for patients with blunt abdominal trauma, we found an accuracy rate of 97 percent but a nontherapeutic laparotomy rate of 27 percent. The 17 percent true false-positive rate of paracentesis and lavage is much higher than has been previously appreciated.
D000007:Abdominal Injuries / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001202:Ascitic Fluid / Q000473:pathology*; D001772:Blood Cell Count; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D011677:Punctures; D013396:Suction; D007507:Therapeutic Irrigation; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery