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Review
. 2009 Apr 17:17:19.
doi: 10.1186/1757-7241-17-19.

Penetrating abdominal injuries: management controversies

Muhammad U Butt  1 , Nikolaos Zacharias, George C Velmahos
Affiliations
Review

Penetrating abdominal injuries: management controversies

Muhammad U Butt et al. Scand J Trauma Resusc Emerg Med. .

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.

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Figures

Figure 1
Figure 1
Algorithm for Management of Penetrating Abdominal Injuries.
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