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Non-operative Management of Penetrating Abdominal Injuries: An Update on Patient Selection

  • Marc de MoyaEmail author
  • Adam Lee Goldstein
Trauma Surgery (J. Diaz, Section Editor)
  • 28 Downloads
Part of the following topical collections:
  1. Trauma Surgery

Abstract

Purpose

To review the current literature, discuss the different mechanisms of penetrating trauma, and to understand the value of diagnostic modalities when deciding which patients may be safely observed non-operatively.

Recent Findings

Recent findings have shown the success of selective non-operative management in all forms of penetrating trauma, with emphasis on understanding the mechanism, the importance of the abdominal exam, and a well-organized infrastructure conducive to accurate monitoring and serial abdominal exams.

Summary

Non-operative management for penetrating abdominal wounds has established itself as a viable option in the stable patient. Despite increasing evidence of the safety and overall benefit, there are still controversies and difficulties when deciding which patient is suitable for non-operative management. As experience with non-operative management continues to grow, it is vital that an institution develops its own protocols based on the current evidence, their patient population, and resources available.

Keywords

Penetrating abdominal trauma Non-operative management Penetrating trauma Stab Gunshot Abdomen 

Notes

Compliance with Ethical Guidelines

Conflict of interest

Marc de Moya and Adam Lee Goldstein declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. 1.Medical College of WisconsinFroedtert Trauma CenterMilwaukeeUSA

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