New Criteria for Deciding Damage Control Surgery for Severe Abdominal Trauma

TL;DRAbstract

Introduction: Opium and heroin body packing is a social and health problem in Mashhad since the city is in the vicinity of the Afghanistan border. Objective: To study health aspects of the body packers admitted in Imam Reza Toxicology Ward between 2001 and 2004 and to compare abdominal X-ray (AXR) and computed tomography (CT) scan for the diagnosis of the patients. Methods: All body packers referred to the Toxicology Ward of Imam Reza Hospital in Mashhad, Iran between 2001 and 2003 were studied. They were hospitalized and underwent close observation for any sign of intoxication. An AXR and a urine morphine test were performed for all patients. An abdominal CT scan also was carried out for 41 of these patients. Naloxane and supportive care were applied to those with clinical manifestations of intoxication. AXR and CT scan results were classified into three groups (highly suggestive, suggestive, and false positive) and compared, using the chi-square test. Results: A total of 56 body pack

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