Outcomes of Operative Management of 96 Cases with Traumatic Retroperitoneal Hematoma: A Single-Institution Experience

Harth Mohamed Kamber; Tawfiq Jasim Mohammed Al-Marzooq; Haider Raheem Neamah; Qays Ahmed Hassan

doi:10.3889/oamjms.2018.437

Authors

Harth Mohamed Kamber Division of Urology, Department of Surgery, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
Tawfiq Jasim Mohammed Al-Marzooq Department of Surgery, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
Haider Raheem Neamah Division of Cardiovascular Surgery, Department of Surgery, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
Qays Ahmed Hassan Division of Radiology, Department of Surgery, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

DOI:

https://doi.org/10.3889/oamjms.2018.437

Keywords:

Retroperitoneal, Hematoma, Exploration, Outcomes

Abstract

AIM: To analyse our experiences in the management of traumatic retroperitoneal hematoma (RPH), highlighting the various challenges faced and to report on the outcome of these patients.

METHODS: From May 2014 to May 2017, all patients with traumatic RPH who underwent surgical treatment were retrospectively analysed. The kind of injury, intraoperative findings, sites of hematoma, postoperative morbidity and the overall outcomes were recorded.

RESULTS: Ninety-six patients; 53 with blunt trauma and 43 with penetrating injury, were included in this study. The centre-medial hematoma was observed in 24 (25%) patients, lateral hematoma in 46 (47.9%) patients, pelvic hematoma in 19 (19.8%) patients, and multiple zone hematomas in 7 (7.3%) patients. All cases were managed surgically. Exploration of the retroperitoneal space was done in 72 cases. Thirty-three patients died, and the overall death rate was 34.4%.

CONCLUSION: Surgical exploration should be done in RPH caused by penetrating injury, but the need for urgent exploration in blunt injury is not so high, and it depends on the anatomical site of hematoma, concomitant organ injury and the hemodynamic status of patients.

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