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

  • Trauma Surgery (J. Diaz, Section Editor)
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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.

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  1. Medical College of Wisconsin, Froedtert Trauma Center, Milwaukee, WI, USA

    Marc de Moya & Adam Lee Goldstein

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de Moya, M., Goldstein, A.L. Non-operative Management of Penetrating Abdominal Injuries: An Update on Patient Selection. Curr Surg Rep 7, 12 (2019). https://doi.org/10.1007/s40137-019-0234-0

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