In terms of time from admission to laparotomy, 67% were treated within 0–4 h, 9% within 4–8 h, 3% within 8–12 h, 10% within 12–24 h, 4% within 24–48 h and 7% at >48 h. Results: The patient cohort comprised 278 patients with BBMI (66% were male, 34% were female), of whom 80% underwent a laparotomy, 17% were treated conservatively and 3% were diagnosed post-mortem. Methods: A retrospective study reviewing 278 consecutive patients who presented to the Alfred trauma center with blunt bowel and mesenteric injuries over a 6-year period. This was achieved by reviewing our experience as a major Victorian trauma service in the management of bowel and mesenteric injuries and comparing this to the experiences reported in the literature. Objective: Our aim was to identify the factors determining the time of surgical intervention and how they affect the outcome of the patient with BBMI. Background: The incidence of blunt bowel and mesenteric injury (BBMI) has increased recently in blunt abdominal trauma, possibly due to an increasing number of high-speed motor accidents and the use of seat belts.
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