Surgical interventions in patients withThoracic, abdominal or both

Abstract

A descriptive, longitudinal, retrospective and prospective study was carried out at the University Hospital "Dr. Carlos J. Finlay "from Havana, Cuba; To determine the behavior of surgical reinterventions after thoracic, abdominal or both trauma during the period from September 2010 to August 2015.Of 1558 patients operated by thoracic, abdominal, or both trauma, 68 surgical reinterventions were performed in 44 patients, representing an incidence of 2.8%. The reinterventions of patients initially operated ondue to abdominal trauma were the main causes of postoperative bleeding and collection in those operated by this type of trauma, while pleural empyema and pneumothorax were the most frequent variants in those operated on for chest trauma . The inadvertent lesions to the initial operative act were the predominant causes of the reinterventions, a fact that was related to the deaths due to this cause versus the group of reintervened patients without evidence of these injuries.Mortality predominated in the patients reintervened in 4 or more opportunities, with hypovolemic and septic shock being the main causes. From the analysis Aand discussion of the results we conclude that mortality in patients with chest trauma, abdomen or both is associated with the presence of inadvertent injuries and the frequency of reinterventions due to postoperative complications.