Identification of Factors in Deciding on the Indications for and Timing of Surgery for Intestinal Damage due to Blunt Injury Treated at Our Hospital

Abstract

【Aim】 To identify factors in deciding on the indications for and timing of surgery for blunt intestinal damage. 【Subjects and Methods】 The subjects were patients with blunt injury suspected of having intestinal damage based on the CT findings on arrival at our hospital, and we retrospectively attempted to identify factors in deciding on the indications for and timing of surgery. 【Results】 There were 36 patients:10 in an emergency surgery group, 6 in an elective surgery group, and 20 in a conservative treatment group. The most common site of intestinal damage was the small intestine. There was a significant difference in the number of abnormal CT findings between the emergency surgery group plus elective surgery group and conservative treatment group （3.1±1.2 vs. 2.0±0.9, P<0.01） and between the emergency surgery group and the elective surgery group （3.6±1.1 vs. 2.2±0.8, P<0.01）. 【Conclusion】 The number of abnormal findings on the CT examination on arrival at the hospital appeared to be an important factor in deciding on the indications for and the timing of surgery.