Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment

Gerardo A. Gomez, Rafael Alvarez, Gustavo Plasencia, Miguel Echenique, James J. Vopal, Patricia Byers, Ennis B. Dove, David J. Kreis

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

In order to reassess the value of diagnostic peritoneal lavage (DPL) in patients with blunt abdominal trauma, we conducted a prospective study over a 15-month period involving 138 patients. There were 29 (28.3%) patients with positive DPL and 103 (71.7%) with negative DPL in this series. Of the 29 patients with positive DPL, 28 (96.5%) were found to have significant intraabdominal injuries; 27 by exploratory laparotomy and in one case at autopsy. One patient with a grossly positive DPL had a negative exploratory laparotomy (3.4% false positive rate). All 109 patients with negative DPL were admitted. In only one case a significant intra-abdominal injury was demonstrated (0.9% false negative rate). The overall mortality in this series was 11.6% and there were no complications related to the DPL. Our results suggest that DPL is indeed an accurate indicator of significant intraabdominal injuries in patients with blunt abdominal trauma.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume27
Issue number1
DOIs
StatePublished - Jan 1987

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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    Gomez, G. A., Alvarez, R., Plasencia, G., Echenique, M., Vopal, J. J., Byers, P., Dove, E. B., & Kreis, D. J. (1987). Diagnostic peritoneal lavage in the management of blunt abdominal trauma: A reassessment. Journal of Trauma - Injury, Infection and Critical Care, 27(1), 1-5. https://doi.org/10.1097/00005373-198701000-00001