Title |
Penetrating abdominal injuries: management controversies
|
---|---|
Published in |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, April 2009
|
DOI | 10.1186/1757-7241-17-19 |
Pubmed ID | |
Authors |
Muhammad U Butt, Nikolaos Zacharias, George C Velmahos |
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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Tanzania, United Republic of | 1 | <1% |
Unknown | 110 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 23 | 21% |
Other | 12 | 11% |
Student > Bachelor | 12 | 11% |
Student > Master | 11 | 10% |
Researcher | 9 | 8% |
Other | 26 | 23% |
Unknown | 19 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 78 | 70% |
Nursing and Health Professions | 4 | 4% |
Agricultural and Biological Sciences | 2 | 2% |
Linguistics | 1 | <1% |
Social Sciences | 1 | <1% |
Other | 3 | 3% |
Unknown | 23 | 21% |