Chen Q, Zhu T, Liu JK, Ding J, Chen L. Conservative management of multi-trauma induced peritonitis: Experience, outcomes, and indications. World J Clin Cases 2023; 11(25): 5897-5902 [PMID: 37727478 DOI: 10.12998/wjcc.v11.i25.5897]
Corresponding Author of This Article
Lina Chen, FRCPC, MD, MMed, MSc, Assistant Professor, Attending Doctor, Consultant Physician-Scientist, Department of Laboratory Medicine and Pathobiology, University of Toronto, No. 1 King’s College Circle, Toronto M5S 1A8, Ontario, Canada. lina.chen@utoronto.ca
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2023; 11(25): 5897-5902 Published online Sep 6, 2023. doi: 10.12998/wjcc.v11.i25.5897
Conservative management of multi-trauma induced peritonitis: Experience, outcomes, and indications
Qi Chen, Tao Zhu, Jia-Kang Liu, Jun Ding, Lina Chen
Qi Chen, Tao Zhu, Jia-Kang Liu, Jun Ding, Department of Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
Lina Chen, Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto M5S 1A8, Ontario, Canada
Author contributions: Chen Q, Zhu T, and Liu JK contributed equally to this work; Chen L designed the research study; Chen Q, Zhu T, Liu JK, and Ding J performed the research; Chen L, Chen Q, Zhu T, and Liu JK analyzed the data and wrote the manuscript; all authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Shuguang Hospital Affiliated with Shanghai Univeristy of TCM (Approval No. 2023-1321-88-01).
Informed consent statement: This is a retrospective chart review study. Individual patient consent is waived according to the Research Ethics Board.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lina Chen, FRCPC, MD, MMed, MSc, Assistant Professor, Attending Doctor, Consultant Physician-Scientist, Department of Laboratory Medicine and Pathobiology, University of Toronto, No. 1 King’s College Circle, Toronto M5S 1A8, Ontario, Canada. lina.chen@utoronto.ca
Received: May 17, 2023 Peer-review started: May 17, 2023 First decision: June 15, 2023 Revised: June 27, 2023 Accepted: August 7, 2023 Article in press: August 7, 2023 Published online: September 6, 2023 Processing time: 106 Days and 10.4 Hours
ARTICLE HIGHLIGHTS
Research background
With damage control plays an increasing role in patient care for severe multiple trauma, the concept of mandatory laparotomy in treating traumatic peritonitis has been increasingly questioned recently.
Research motivation
By reveiwing the treatment modalities and outcomes of patients with multiple injury induced traumatic peritonitis, we propose the indications and share the experience of conservative managment of multi-trauma induced peritonitis.
Research objectives
To review the outcomes of conservative management of traumatic peritonitis and explore the indications for managing it conservatively.
Research methods
A retrospective review was performed on a total of 184 patients with multiple injury induced traumatic peritonitis.
Research results
Out of 184 patients with multiple injury induced traumatic peritonitis, 46 of them underwent conservative treatment. None of the conservatively managed patients switched to surgical treatment and all of them fully recovered.
Research conclusions
In hemodynamically stable patients with traumatic peritonitis, conservative management is safe, effective, feasible, and beneficial if there is no definite evidence of severe abdominal visceral organ injury.
Research perspectives
We aim to seek collaborations from other institutions to conduct a multi-center study to further explore conservative management of multiple injury induced traumatic peritonitis.
