@article{ref1,
title="Aspects relevant for abdominal surgery of attempted suicide",
journal="Langenbecks archiv fur chirurgie",
year="1997",
author="Nagel, E. and Jähne, J. and Obermann, K. and Lotz, J. and Meyer zu Vilsendorf, A. and Pichlmayr, R.",
volume="382",
number="1",
pages="29-32",
abstract="In this retrospective study of 24 patients who were treated at our clinic during the last 22 years after having attempted suicide, we evaluated aspects concerning abdominal- and transplantation surgery. There was a predominance of &quot;hard&quot; (70%) versus &quot;soft&quot; (30%) methods for suicide attempt. Intra-abdominal injuries resulting from attempted suicide by stabbing or shooting should lead to laparotomy-the prognosis is then good. Surgical treatment after intoxication, especially caustic ingestion, depends on endoscopic and clinical findings. The highly increased rates of suicide in patients with end-stage renal disease can be reduced significantly by kidney transplantation. The risk of suicide after transplantation is further diminished with improved immunosuppressive treatment. Only in a few cases there is an indication for liver transplantation-in some cases of fulminant hepatic failure caused by self-administered paracetamol overdose. Auxiliary liver transplantation may then be considered.<p /><p>Language: de</p>",
language="de",
issn="0023-8236",
doi="",
url="http://dx.doi.org/"
}