Laparotomy for organ evisceration from abdominal stab wounds: A South African experience

Publication date: Available online 7 August 2018

Source: Injury

Author(s): V.Y. Kong, R. Weale, J.M. Blodgett, J. Buitendag, J.L. Bruce, G.L. Laing, D.L. Clarke

Abstract

Introduction

Organ evisceration following abdominal SW is currently considered as an absolute indication for mandatory laparotomy due to the high incidence of associated intra-abdominal injuries, but literature describing the spectrum of organ injury encountered is limited.

Materials and Methods

We reviewed our experience of 301 consecutive patients who were subjected to mandatory laparotomy over an eight year period at a major trauma centre in South Africa.

Results

Of the 301 patients with organ evisceration, 92% were male (mean age 28 years). Ninety percent (270/301) of the laparotomies were positive (85% (229/270) therapeutic, 15% (41/270) non-therapeutic. The frequencies of eviscerated organs were small bowel (70%), large bowel (26%), and stomach 3%. Three (1%) patients had combined evisceration of more than one of the above organ. The most commonly injuries organs were small bowel, and large bowel. The mean length of stay was 9 days. Seven present required intensive care admission. The morbidity was rate was 21% and mortality was 2%.

Conclusions

The spectrum of injury associated with abdominal SW with organ evisceration is similar to smaller published series. Multiple organ injuries are common. The most common eviscerated organs were small bowel, large bowel and stomach while the commonly injured organs were small bowel and colon.

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