[Experience in management of trauma-related acute abdomen at the "General Ignacio Zaragoza" Regional Hospital in Mexico City].
OBJECTIVE
To know the current state of surgical management of patients with abdominal trauma.


METHODS
We carried out a retrospective, observational, transversal study involving patients with abdominal trauma with clinical files wtih trauma who required surgery during the period of April 1, 1998 through March 30, 2003.


RESULTS
There were 72 cases including nine male and 33 female patients. Mechanism of lesion was divided into closed and penetrating trauma, the latter group of patients divided into individuals with blunt wounds or with gunshot wounds. Most frequent early postoperative complication was hemorrhage, while most frequent late postoperative complication was acute renal failure. Causes of death were hypovolemic shock in four patients followed by two cases each with the following pathologies: acute respiratory insufficiency syndrome; myocardial infarct, and septic shock.


CONCLUSIONS
Abdominal trauma is a frequent pathology in our environment, males the most affected patients, with penetrating trauma main lesion cause. Prolonged surgical time required hemotransfusions, and infectious processes together with processes related with tissular hypoxia are the most common cause of complications and death.
Senado-Lara
Isaac
I
Hospital Regional "General Ignacio Zaragoza," ISSSTE, Jicama No. 35, Tablas de Pozo, 55510 Ecatepec, Estado de México. surgysen@hotmail.com
Castro-Mendoza
Antonio
A
Palacio-Vélez
Fernando
F
Vargas-Avila
Arcenio Luis
AL
D000006:Abdomen, Acute / Q000209:etiology* / Q000601:surgery; D000007:Abdominal Injuries / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D001803:Blood Transfusion / Q000706:statistics & numerical data; D019090:Case Management; D003430:Cross-Sectional Studies; D004630:Emergencies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality; D012189:Retrospective Studies; D014948:Wounds, Gunshot / Q000453:epidemiology / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000453:epidemiology / Q000601:surgery; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000601:surgery