Which Treatment for Abdominal Trauma in Pediatric Age (impact factor 1.09)

Abstract— Abdominal trauma are present in 40% of multipletrauma patients and in relation to the position of damagedtissues are classified into superficial (bruises) and deep(affecting vessels, parenchyma and viscera) the purpose Of thiswork is to propose a valid diagnostic algorithm effective andsafe. Materials and Methods From January 1997 to December2000 were seen at the Surgical Clinic III of the UniversityHospital of Catania No 11 patients aged 8-13 years average age10.5, with blunt abdominal blunt trauma. N 9 pts. (81%) weremale, the remaining n 2 cases (19%) were female, the causes oftrauma were accidental and contusion, the most affected organswere: spleen (52%) the liver (31%), kidney and ileum (18%).Results In abdominal trauma in children most frequently wasfound to parenchymatous organs (spleen and liver, kidney) Thediagnostic approach is made by clinical examination based on ahistory that collects information that guide immediately to theaffected organ from trauma for the purposes of defining whatthe exam is the most appropriate therapy. .Discussion Inpatients with hemodynamic istabilità after evaluation of CT ecoinvestigations, with the presence of peritoneal fluid proceed toinvasive intervention after laparoscopic evaluation. In caseswhere we have a hemodynamically stable patient in whom theCT and echo tests show small and medium-sized lesionstreatment is not implemented invasivo.La tab 1 summarizes thealgorithmic Conclusions Conclusions The secondary blunttrauma to domestic traumatic causes or falls frequentaccidental in children require special attention not only hasspecifics kills.