title: Serial Clinical Examinations of 100 Patients Treated for Anterior Abdominal Wall Stab Wounds: A Cross Sectional Study.
abstract: BACKGROUND
  The current approach in stab wounds of the anterior abdominal wall is still unclear.
  
  
  OBJECTIVE
  The goal of this study was to evaluate serial clinical examinations of patients with abdominal wall stab wounds referred to Poursina Hospital in Rasht.
  
  
  METHODS
  In a cross sectional study, 100 cases with stab wounds to the anterior abdominal wall were examined serially (admission time, 4, 8, 12, and 24 hours) after wound exploration. Serial hemoglobin test was performed every 8 hours. Laparotomy was performed in cases who were not hemodynamically stable or who showed symptoms of peritonitis. The results were analyzed with SPSS software version 21.
  
  
  RESULTS
  Ninety-one men (91%) and 9 women (9%) with mean age of 27 ± 10.7 years were included. Coexisting injuries were prevalent in 12 cases. The duration of hospitalization was 1 day in 31%, 2 days in 30%, 3 - 4 days in 32% and more than 5 days in 7%. Late laparotomy was performed 12 hours after admission in 8% of patients due to peritonitis. There was visceral damage in these cases. No mortality occurred. The cost and duration of hospitalization was significantly higher in cases with coexisting injuries and those who underwent laparotomy.
  
  
  CONCLUSIONS
  It seems serial clinical examinations are safe and decrease the cost and duration of hospitalization in stable patients with anterior abdominal wall stab wounds.
authors.affiliation: Department of Surgery, Guilan Surgery Research Center, Guilan University of Medical Sciences, Rasht, IR Iran.
authors.forename: Mohammad Rasool
authors.initials: MR
authors.lastname: Herfatkar
authors.affiliation: Department of Surgery, Guilan Surgery Research Center, Guilan University of Medical Sciences, Rasht, IR Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Mobayen
authors.affiliation: Department of Surgery, Guilan Surgery Research Center, Guilan University of Medical Sciences, Rasht, IR Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Karimian
authors.affiliation: Public Health Center of Guilan, Guilan Surgery Research Center, Rasht, IR Iran.
authors.forename: Fariba
authors.initials: F
authors.lastname: Rahmanzade
authors.affiliation: General Practitioner, Tehran University of Medical Science, Tehran, IR Iran.
authors.forename: Sadaf
authors.initials: S
authors.lastname: Baghernejad Monavar Gilani
authors.affiliation: Department of Surgery, Guilan Surgery Research Center, Guilan University of Medical Sciences, Rasht, IR Iran.
authors.forename: Iraj
authors.initials: I
authors.lastname: Baghi
keywords: Abdominal Wall; Clinical Examination; Wounds, Stab
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