title: Analysis of 120 patients with abdominal stab wound focusing on diagnostic role of fast.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the managemant results of patients with penetrating abdominal injuries.
  
  
  METHODS
  One hundred twenty (120) patients who were admitted to the Emergency Department of Haydarpasa Numune Training and Research Hospital between December 2003 and December 2010 with abdominal stab wounds were included to retrospective study. The data of all patients regarding age, gender, FAST and CT results, injured organs, surgical procedures, length of hospital stay, follow-up were examined. USG findings were classified as follows: true positive (TP), in cases of positive USG findings, and positive laparotomy; true negative (TN), in cases of negative USG findings, and negative physical examination and follow-up findings; false negative (FN), in cases of negative USG findings, and positive laparotomy; and false positive (FP), in cases of positive USG findings, and negative physical examination and follow-up findings. Abdominopelvic CT extended from the lower chest to the symphysis pubis. CT was performed by administering radiopaque agents via intravenous (i.v.) rectal or oral route.
  
  
  RESULTS
  One hundred twenty (120) patients who were admitted to the Emergency Department of Haydarpasa Numune Training and Research Hospital between December 2003 and December 2010 with stab abdominal injuries were hospitalized. According to USG findings, 45.7% were TP, 82.4% were TN, 10.6% were FN, and 34.3% were FP. Thirty-five patients with hemodynamic stability and positive FAST findings and 15 patients with positive hemodynamic stability but negative FAST findings underwent computed tomography.
  
  
  CONCLUSIONS
  Serial FAST and CT help guide treatment for stable patients with penetrating sharp injuries to the abdomen.
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Mehmet Kamil
authors.initials: MK
authors.lastname: Yıldız
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Erkan
authors.initials: E
authors.lastname: Ozkan
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Hacı Mehmet
authors.initials: HM
authors.lastname: Odabaşı
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Eriş
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Günay
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Hacı Hasan
authors.initials: HH
authors.lastname: Abuoğlu
authors.affiliation: Department of General Surgery, Kanuni Sultan Suleyman Training and Research Hospital Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Kaya
authors.affiliation: Department of General Surgery, Marmara University Medical Faculty Turkey.
authors.forename: Samet
authors.initials: S
authors.lastname: Yardımcı
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Ma Tolga
authors.initials: MT
authors.lastname: Müftüoglu
authors.affiliation: Department of General Surgery, Haydarpaşa Numune Training and Research Hospital Turkey.
authors.forename: Umit
authors.initials: U
authors.lastname: Topaloglu
keywords: FAST; Stab wound; computed tomography