Search for: [Abstract = "Methods used in 2nd Department of Surgery UJ CM \(1995 – 2004\) in diagnosis of abdominal injuries were evaluated\: clinical examination CE, ultrasound FAST, diagnostic peritoneal lavage DPL, computed tomography CT, laparoscopy LS and contrast studies of the urinary tract IVP. Evaluation included\: sensitivity SE, specificity SP, positive PPV and negative NPV predictive values. Abdominal injuries were diagnosed in 15,5% patients. 69% were treated surgically, 28% conservatively. In 3% injuries were missed. 9% of 178 abdominal operations were exploratory laparotomies. CE was always used. For history taking SE was 67,4%, SP 69,9%, PPV 29,5%, NPV 91,9% , for physical examination 82,4%, 68,8%, 32,4%, 95,5% respectively. FAST were performed in 97,6%. SE was 91,1%, SP 97,9%, PPV 86,1%, and NPV 98,7%. DPL was performed in 3,27%. One complication of DPL was noted\: laceration of mesentery with troacar. SE, SP, PPV and NPV were assessed to be 82\-83%. LS was used in 3,2% of trauma victims. LS was complicated with bowel perforation once. LS proved to be effective diagnostic method in qualification for laparotomy \(SE 92%, SP and PPV 100%, NPV 90%\) and in making diagnosis \(84%, 100%, 100%, 64%\). IVP was used in 3,2% and CT in 1,92% of patients. Results. CE together with FAST allows exclude internal injuries or constitutes the initial diagnosis which should be verified with CT or LS. Therapeutic d"]

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