Journal of Surgical Education
Volume 65, Issue 5 , Pages 340-345 , September 2008

Evaluation of Selective Treatment of Penetrating Abdominal Trauma

  • Thomas M. Schmelzer, MD

      Affiliations

    • Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina
    • ,
  • Gamal Mostafa, MD

      Affiliations

    • Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina
    • Corresponding Author InformationCorrespondence: Inquiries to Gamal Mostafa, MD, Department of Surgery/MEB 601, Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203; fax: (704) 355-5619
    • ,
  • Oliver L. Gunter Jr, MD

      Affiliations

    • Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina
    • ,
  • H. James Norton, PhD

      Affiliations

    • Department of Biostatistics, Carolinas Medical Center, Charlotte, North Carolina
    • ,
  • Ronald F. Sing, DO

      Affiliations

    • Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina

References 

  1. Ahmed N, Whelan J, Brownlee J, Chari V, Chung R. The contribution of laparoscopy in evaluation of penetrating abdominal wounds. J Am Coll Surg. 2005;201:213–216
  2. Demetriades D, Hadjizacharia P, Constantinou C, et al. Selective nonoperative management of penetrating abdominal solid organ injuries. Ann Surg. 2006;244:620–628
  3. Arikan S, Kocakusak A, Yucel AF, Adas G. A prospective comparison of the selective observation and routine exploration methods for penetrating abdominal stab wounds with organ or omentum evisceration. J Trauma. 2005;58:526–532
  4. Thompson JS, Moore EE, Van Duzer-Moore S, Moore JB, Galloway AC. The evolution of abdominal stab wound management. J Trauma. 1980;20:478–484
  5. Knudson MM, Maull KI. Nonoperative management of solid organ injuries (Past, present, and future). Surg Clin North Am. 1999;79:1357–1371
  6. Malhotra AK, Fabian TC, Croce MA, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg. 2000;231:804–813
  7. Salim A, Sangthong B, Martin M, et al. Use of computed tomography in anterior abdominal stab wounds: results of a prospective study. Arch Surg. 2006;141:745–750discussion 750-752
  8. Miller FB, Cryer HM, Chilikuri S, Creech P, Richardson JD. Negative findings on laparotomy for trauma. South Med J. 1989;82:1231–1234
  9. Gonzalez RP, Turk B, Falimirski ME, Holevar MR. Abdominal stab wounds: diagnostic peritoneal lavage criteria for emergency room discharge. J Trauma. 2001;51:939–943
  10. Udobi KF, Rodriguez A, Chiu WC, Scalea TM. Role of ultrasonography in penetrating abdominal trauma: a prospective clinical study. J Trauma. 2001;50:475–479
  11. Shanmuganathan K, Mirvis SE, Chiu WC, et al. Penetrating torso trauma: triple-contrast helical CT in peritoneal violation and organ injury—a prospective study in 200 patients. Radiology. 2004;231:775–784
  12. Ginzburg E, Carrillo EH, Kopelman T, et al. The role of computed tomography in selective management of gunshot wounds to the abdomen and flank. J Trauma. 1998;45:1005–1009
  13. Rehm CG, Sherman R, Hinz TW. The role of CT scan in evaluation for laparotomy in patients with stab wounds of the abdomen. J Trauma. 1989;29:446–450
  14. Chiu WC, Shanmuganathan K, Mirvis SE, Scalea TM. Determining the need for laparotomy in penetrating torso trauma: a prospective study using triple-contrast enhanced abdominopelvic computed tomography. J Trauma. 2001;51:860–868discussion 868-869
  15. Velmahos GC, Constantinou C, Tillou A, et al. Abdominal computed tomographic scan for patients with gunshot wounds to the abdomen selected for nonoperative management. J Trauma. 2005;59:1155–1160discussion 1160-1161
  16. Ortega AE, Tang E, Froes ET, et al. Laparoscopic evaluation of penetrating thoracoabdominal traumatic injuries. Surg Endosc. 1996;10:19–22
  17. Ivatury RR, Simon RJ, Stahl WM. A critical evaluation of laparoscopy in penetrating abdominal trauma. J Trauma. 1993;34:822–827discussion 827-828
  18. Ertekin C, Yanar H, Taviloglu K, Guloglu R, Alimoglu O. Unnecessary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds. Emerg Med J. 2005;22:790–794
  19. Alzamel HA, Cohn SM. When is it safe to discharge asymptomatic patients with abdominal stab wounds?. J Trauma. 2005;58:523–525
  20. Brown CV, Velmahos GC, Neville AL, et al. Hemodynamically “stable” patients with peritonitis after penetrating abdominal trauma: identifying those who are bleeding. Arch Surg. 2005;140:767–772
  21. Allen GS, Moore FA, Cox CS, et al. Hollow visceral injury and blunt trauma. J Trauma. 1998;45:69–75discussion 75-78
  22. van Haarst EP, van Bezooijen BP, Coene PP, Luitse JS. The efficacy of serial physical examination in penetrating abdominal trauma. Injury. 1999;30:599–604

PII: S1931-7204(08)00182-7

doi: 10.1016/j.jsurg.2008.06.008

Journal of Surgical Education
Volume 65, Issue 5 , Pages 340-345 , September 2008

Article Tools

* Image Usage & Resolution