TY  - JOUR
PY  - 1997//
TI  - Aspects relevant for abdominal surgery of attempted suicide
JO  - Langenbecks archiv fur chirurgie
A1  - Nagel, E.
A1  - Jähne, J.
A1  - Obermann, K.
A1  - Lotz, J.
A1  - Meyer zu Vilsendorf, A.
A1  - Pichlmayr, R.
SP  - 29
EP  - 32
VL  - 382
IS  - 1
N2  - 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 "hard" (70%) versus "soft" (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>
LA  - de
SN  - 0023-8236
UR  - http://dx.doi.org/
ID  - ref1
ER  -