Penetrating Abdominal Injuries: Management Controversies
| Title: | Penetrating Abdominal Injuries: Management Controversies |
| Author: |
Zacharias, Nikolaos; Butt, Muhammad Umar; Velmahos, George
Note: Order does not necessarily reflect citation order of authors. |
| Citation: | Butt, Muhammad U., Nikolaos Zacharias, and George C. Velmahos. 2009. Penetrating abdominal injuries: management controversies. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 17: 19. |
| Full Text & Related Files: |
2674409.pdf (302.2Kb; PDF) 
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| 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. |
| Published Version: | doi://10.1186/1757-7241-17-19 |
| Other Sources: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2674409/pdf/ |
| Terms of Use: | This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA |
| Citable link to this page: | http://nrs.harvard.edu/urn-3:HUL.InstRepos:4727703 |
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