Table 3.
Summary of operative findings and management
| Operative findings and management | All patients (n = 267) | Prior laparotomy (n = 31) | No prior laparotomy (n = 236) | p |
|---|---|---|---|---|
| Laparotomy | 254 (95%) | 29 (94%) | 225 (95%) | 0.213 |
| Laparoscopy | 3 (1%) | 0 (0%) | 3 (1%) | >0.999 |
| Converted to open | 10 (4%) | 2 (6%) | 8 (3%) | 0.327 |
| Days from admission to surgery | 0 [0–1] | 0 [0–1] | 0[0–1] | 0.155 |
| Identified solid organ injury | 168 (63%) | 15 (48%) | 153 (65%) | 0.079 |
| Missed on CT scana | 6 (3%) | 1 (5%) | 5 (3%) | 0.539 |
| Identified diaphragm hernia | 21 (8%) | 3 (10%) | 18 (8%) | 0.720 |
| Missed on CT scana | 5 (3%) | 1 (5%) | 4 (3%) | 0.474 |
| Identified bowel injury | 66 (25%) | 11 (35%) | 55 (23%) | 0.182 |
| Partial thickness | 37 (14%) | 3 (10%) | 34 (14%) | 0.590 |
| Full thickness | 29 (11%) | 8 (26%) | 21 (9%) | 0.010 |
| Missed on CT scana | 36 (20%) | 7 (33%) | 29 (19%) | 0.148 |
| Required bowel repair | 32 (12%) | 5 (16%) | 27 (11%) | 0.393 |
| Required bowel resection | 24 (9%) | 5 (16%) | 19 (8%) | 0.173 |
| Identified mesenteric injury | 91 (34%) | 19 (61%) | 72 (31%) | 0.001 |
| Missed on CT scana | 24 (14%) | 4 (19%) | 20 (13%) | 0.495 |
| Required hemostasis/repair | 60 (22%) | 13 (42%) | 47 (20%) | 0.010 |
| Required bowel resectionb | 17 (6%) | 4 (13%) | 13 (6%) | 0.120 |
| Any bowel or mesenteric injury | 107 (40%) | 24 (77%) | 83 (35%) | <0.001 |
| Non-diagnostic laparotomy | 7 (3%) | 0 (0%) | 7 (3%) | >0.999 |
| Non-therapeutic laparotomy | 18 (7%) | 0 (0%) | 18 (7%) | 0.608 |
Data are presented as n (%) or median [interquartile range]
CT computed tomography
a
Considering only patients with a preoperative CT scan (176 total patients, 21 patients with prior laparotomy, and 155 patients with no prior laparotomy)
b
Devascularizing mesenteric injuries that required bowel resection in the absence of a full thickness bowel injury