Complications after negative laparotomy for trauma

Long-term follow-up in a health maintenance organization

James E. Morrison, David H Wisner, Balazs I. Bodai

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Objective: To assess short-term and long-term complication rates after trauma laparotomy in a group of health maintenance organization (Kaiser Permanante) patients. Design: Retrospective cohort study of patients belonging to Kaiser Permanante. Materials and Methods: Eighty Kaiser patients who underwent a negative or nontherapeutic laparotomy for trauma at a Level 1 trauma center (University of California, Davis Medical Center (UCDMC)) between April 1989 and May 1994 were identified. Demographic data, past medical history, mechanism of injury, indications for surgery, findings at laparotomy, and short-term complications were abstracted from the UCDMC record. Long-term complications were taken from the Kaiser record. Measurements: Long-term complications, including small bowel obstruction, hernia, and cosmesis. Short-term complications, including pneumonia, cellulitis, wound infection, prolonged ileus, and urinary tract infection. Results: The single death in the early postoperative period was not related to the laparotomy. Mean follow-up was 36 ± 2 months (median, 36 months); 86% had follow-up of at least 1 year. The incidence of short-term complications was 43% in patients with associated extra-abdominal injuries and 20% in patients without associated extra-abdominal injuries (p = 0.17). On long- term follow-up, there were no small bowel obstructions, incisional hernias, or cosmetic problems requiring correction. One patient developed a stitch abscess 6 weeks after the operation. Conclusions: The incidence of long-term complications after negative or nontherapeutic laparotomy for trauma is low.

Original languageEnglish (US)
Pages (from-to)509-513
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume41
Issue number3
StatePublished - Sep 1996

Fingerprint

Health Maintenance Organizations
Laparotomy
Wounds and Injuries
Abdominal Injuries
Cellulitis
Ileus
Trauma Centers
Incidence
Wound Infection
Hernia
Postoperative Period
Urinary Tract Infections
Cosmetics
Abscess
Medical Records
Pneumonia
Cohort Studies
Retrospective Studies
Demography

Keywords

  • Bowel obstruction
  • Complications
  • Incisional hernia
  • Laparotomy

ASJC Scopus subject areas

  • Surgery

Cite this

Complications after negative laparotomy for trauma : Long-term follow-up in a health maintenance organization. / Morrison, James E.; Wisner, David H; Bodai, Balazs I.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 41, No. 3, 09.1996, p. 509-513.

Research output: Contribution to journalArticle

@article{a6546930410346ffa56bfe24a4e96170,
title = "Complications after negative laparotomy for trauma: Long-term follow-up in a health maintenance organization",
abstract = "Objective: To assess short-term and long-term complication rates after trauma laparotomy in a group of health maintenance organization (Kaiser Permanante) patients. Design: Retrospective cohort study of patients belonging to Kaiser Permanante. Materials and Methods: Eighty Kaiser patients who underwent a negative or nontherapeutic laparotomy for trauma at a Level 1 trauma center (University of California, Davis Medical Center (UCDMC)) between April 1989 and May 1994 were identified. Demographic data, past medical history, mechanism of injury, indications for surgery, findings at laparotomy, and short-term complications were abstracted from the UCDMC record. Long-term complications were taken from the Kaiser record. Measurements: Long-term complications, including small bowel obstruction, hernia, and cosmesis. Short-term complications, including pneumonia, cellulitis, wound infection, prolonged ileus, and urinary tract infection. Results: The single death in the early postoperative period was not related to the laparotomy. Mean follow-up was 36 ± 2 months (median, 36 months); 86{\%} had follow-up of at least 1 year. The incidence of short-term complications was 43{\%} in patients with associated extra-abdominal injuries and 20{\%} in patients without associated extra-abdominal injuries (p = 0.17). On long- term follow-up, there were no small bowel obstructions, incisional hernias, or cosmetic problems requiring correction. One patient developed a stitch abscess 6 weeks after the operation. Conclusions: The incidence of long-term complications after negative or nontherapeutic laparotomy for trauma is low.",
keywords = "Bowel obstruction, Complications, Incisional hernia, Laparotomy",
author = "Morrison, {James E.} and Wisner, {David H} and Bodai, {Balazs I.}",
year = "1996",
month = "9",
language = "English (US)",
volume = "41",
pages = "509--513",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Complications after negative laparotomy for trauma

T2 - Long-term follow-up in a health maintenance organization

AU - Morrison, James E.

AU - Wisner, David H

AU - Bodai, Balazs I.

PY - 1996/9

Y1 - 1996/9

N2 - Objective: To assess short-term and long-term complication rates after trauma laparotomy in a group of health maintenance organization (Kaiser Permanante) patients. Design: Retrospective cohort study of patients belonging to Kaiser Permanante. Materials and Methods: Eighty Kaiser patients who underwent a negative or nontherapeutic laparotomy for trauma at a Level 1 trauma center (University of California, Davis Medical Center (UCDMC)) between April 1989 and May 1994 were identified. Demographic data, past medical history, mechanism of injury, indications for surgery, findings at laparotomy, and short-term complications were abstracted from the UCDMC record. Long-term complications were taken from the Kaiser record. Measurements: Long-term complications, including small bowel obstruction, hernia, and cosmesis. Short-term complications, including pneumonia, cellulitis, wound infection, prolonged ileus, and urinary tract infection. Results: The single death in the early postoperative period was not related to the laparotomy. Mean follow-up was 36 ± 2 months (median, 36 months); 86% had follow-up of at least 1 year. The incidence of short-term complications was 43% in patients with associated extra-abdominal injuries and 20% in patients without associated extra-abdominal injuries (p = 0.17). On long- term follow-up, there were no small bowel obstructions, incisional hernias, or cosmetic problems requiring correction. One patient developed a stitch abscess 6 weeks after the operation. Conclusions: The incidence of long-term complications after negative or nontherapeutic laparotomy for trauma is low.

AB - Objective: To assess short-term and long-term complication rates after trauma laparotomy in a group of health maintenance organization (Kaiser Permanante) patients. Design: Retrospective cohort study of patients belonging to Kaiser Permanante. Materials and Methods: Eighty Kaiser patients who underwent a negative or nontherapeutic laparotomy for trauma at a Level 1 trauma center (University of California, Davis Medical Center (UCDMC)) between April 1989 and May 1994 were identified. Demographic data, past medical history, mechanism of injury, indications for surgery, findings at laparotomy, and short-term complications were abstracted from the UCDMC record. Long-term complications were taken from the Kaiser record. Measurements: Long-term complications, including small bowel obstruction, hernia, and cosmesis. Short-term complications, including pneumonia, cellulitis, wound infection, prolonged ileus, and urinary tract infection. Results: The single death in the early postoperative period was not related to the laparotomy. Mean follow-up was 36 ± 2 months (median, 36 months); 86% had follow-up of at least 1 year. The incidence of short-term complications was 43% in patients with associated extra-abdominal injuries and 20% in patients without associated extra-abdominal injuries (p = 0.17). On long- term follow-up, there were no small bowel obstructions, incisional hernias, or cosmetic problems requiring correction. One patient developed a stitch abscess 6 weeks after the operation. Conclusions: The incidence of long-term complications after negative or nontherapeutic laparotomy for trauma is low.

KW - Bowel obstruction

KW - Complications

KW - Incisional hernia

KW - Laparotomy

UR - http://www.scopus.com/inward/record.url?scp=0029822216&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029822216&partnerID=8YFLogxK

M3 - Article

VL - 41

SP - 509

EP - 513

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 3

ER -