Penetrating abdominal injuries: management controversies
Open Access
- 17 April 2009
- journal article
- review article
- Published by Springer Science and Business Media LLC in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
- Vol. 17 (1), 19
- https://doi.org/10.1186/1757-7241-17-19
Abstract
Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a matter of controversy. In this chapter we describe the rationale and methodology of selecting patients for non-operative management. We also discuss additional controversial issues, as related to antibiotic prophylaxis, management of asymptomatic thoracoabdominal injuries, and the use of colostomy vs. primary repair for colon injuries.Keywords
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