Complications of negative laparotomy for XXXX .

@entity1 @entity1317 @entity1913 @entity1744 @entity130
Controversy continues about how often a negative laparotomy should be accepted in the management of @entity1 with blunt and penetrating @entity130 . A key issue is the complications, especially @entity1744 . To define these complications, the charts of 248 @entity1 who underwent negative laparotomy for @entity130 were examined. There were 185 @entity1 with penetrating injuries and 63 with @entity1913 . @entity1317 were present in 119 @entity1 . Acute perioperative morbidity occurred in 53 percent of the @entity1 with associated injuries and 22 percent of @entity1 with no associated injuries. On long-term follow-up, five @entity1 developed @entity1744 . The incidence of @entity1744 was related to operative exposure. We have concluded that early morbidity after a negative laparotomy is more common when associated injuries are present. The risk of postoperative @entity1744 is small, especially when extensive operative dissection is not necessary. Abdominal exploration should not be discarded as a viable diagnostic and therapeutic procedure in @entity1 with equivocal findings.
