• Scand J Trauma Resus · Jan 2009

    Review

    Penetrating abdominal injuries: management controversies.

    • Muhammad U Butt, Nikolaos Zacharias, and George C Velmahos.
    • Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. umarbutt177@gmail.com
    • Scand J Trauma Resus. 2009 Jan 1;17:19.

    AbstractPenetrating 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.

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