title: Surgical management in parenchymatous organ injuries due to blunt and penetrating abdominal traumas--the authors' experience.
abstract: BACKGROUND
  Social developments have brought increases in both motorization and violence worldwide, including in Poland, which has meant a steady increase in the percentage of multi-organ injuries, including abdominal, spleen and liver injuries. As a result of these injuries, the number of deaths from hemorrhagic shock is constantly growing.
  
  
  METHODS
  The study presents 126 patients hospitalized after blunt and penetrating abdominal parenchymatous organ traumas over a 10-year period (2000-2010).
  
  
  RESULTS
  The majority of parenchymatous organ traumas in the study period resulted from traffic accidents. The examined group included cases of liver injury, spleen injury and simultaneous liver and spleen damage. Among liver and spleen injuries, the most frequent was parenchymal rupture. A variety of surgical procedures were applied, including laparoscopy used as both a diagnostic and therapeutic method. Among the 126 patients hospitalized after parenchymatous organ traumas, nine died.
  
  
  CONCLUSIONS
  Parenchymatous organ injuries after abdominal traumas are a very important surgical issue nowadays. Laparoscopy is increasingly frequently applied both as a diagnostic and therapeutic and technique. Due to the accessibility of highly specialized imaging diagnostics, observation and conservative treatment in spleen injuries is now possible.
authors.affiliation: 1st Department of General and Endocrine Surgery, Medical University of Bialystok, Poland. klchirog@umwb.edu.pl
authors.forename: Hady R
authors.initials: HR
authors.lastname: Hady
authors.forename: Magdalena
authors.initials: M
authors.lastname: Łuba
authors.forename: Piotr
authors.initials: P
authors.lastname: Myśliwiec
authors.forename: Lech
authors.initials: L
authors.lastname: Trochimowicz
authors.forename: Jerzy
authors.initials: J
authors.lastname: Łukaszewicz
authors.forename: Joannna
authors.initials: J
authors.lastname: Zurawska
authors.forename: Jerzy Robert
authors.initials: JR
authors.lastname: Ładny
authors.forename: Jacek
authors.initials: J
authors.lastname: Dadan
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000401:mortality; D008099:Liver / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011044:Poland; D011237:Predictive Value of Tests; D013154:Spleen / Q000293:injuries / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014754:Violence; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D055815:Young Adult