Penetrating abdominal injuries: management controversies
<p>Abstract</p> <p>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 appropr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2009-04-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Online Access: | http://www.sjtrem.com/content/17/1/19 |
| _version_ | 1811319821361479680 |
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| author | Velmahos George C Zacharias Nikolaos Butt Muhammad U |
| author_facet | Velmahos George C Zacharias Nikolaos Butt Muhammad U |
| author_sort | Velmahos George C |
| collection | DOAJ |
| description | <p>Abstract</p> <p>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.</p> |
| first_indexed | 2024-04-13T12:49:14Z |
| format | Article |
| id | doaj.art-5e8b34e57e5f47adb5705cc5a02534cd |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-04-13T12:49:14Z |
| publishDate | 2009-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-5e8b34e57e5f47adb5705cc5a02534cd2022-12-22T02:46:17ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412009-04-011711910.1186/1757-7241-17-19Penetrating abdominal injuries: management controversiesVelmahos George CZacharias NikolaosButt Muhammad U<p>Abstract</p> <p>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.</p>http://www.sjtrem.com/content/17/1/19 |
| spellingShingle | Velmahos George C Zacharias Nikolaos Butt Muhammad U Penetrating abdominal injuries: management controversies Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| title | Penetrating abdominal injuries: management controversies |
| title_full | Penetrating abdominal injuries: management controversies |
| title_fullStr | Penetrating abdominal injuries: management controversies |
| title_full_unstemmed | Penetrating abdominal injuries: management controversies |
| title_short | Penetrating abdominal injuries: management controversies |
| title_sort | penetrating abdominal injuries management controversies |
| url | http://www.sjtrem.com/content/17/1/19 |
| work_keys_str_mv | AT velmahosgeorgec penetratingabdominalinjuriesmanagementcontroversies AT zachariasnikolaos penetratingabdominalinjuriesmanagementcontroversies AT buttmuhammadu penetratingabdominalinjuriesmanagementcontroversies |