Stab Wound to the Abdomen

  • Kristen C. Sihler
  • Samuel E. Bledsoe
  • Ronald H. Clements
  • Barbara Latenser
  • Kristen C. Sihler

One of the earliest applications of laparoscopy was abdominal exploration. Indeed, laparoscopy was applied to the evaluation of stable trauma patients before diagnostic peritoneal lavage, ultrasound, and computed tomographic scanning were accepted modalities. The role of laparoscopy in the evaluation of the stable trauma patient is explored in this chapter.


Abdominal Trauma Laparoscopic Splenectomy Stab Wound Tension Pneumothorax Diaphragmatic Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Choi YB, Lim KS. Therapeutic laparoscopy for abdominal trauma. Surg Endosc 2003;17:421-427.CrossRefGoogle Scholar
  2. Demetriades D, Rabinowitz B. Indications for operation in abdominal stab wounds. A prospective study of 651 patients. Ann Surg 1987;205(2):129-132.CrossRefPubMedGoogle Scholar
  3. Friese RS, Coln CE, Gentilello LM. Laparoscopy is sufficient to exclude occult diaphragm injury after penetrating abdominal injury. J Trauma 2005;58:789-792.CrossRefPubMedGoogle Scholar
  4. Gazzaniga AB, Stanton WW, Barlett RH. Laparoscopy in the diagnosis of blunt and pen-etrating injuries to the abdomen. Am J Surg 1976;131:315-318.CrossRefPubMedGoogle Scholar
  5. Murray JA, Demetriades D, Asensio JA, et al. Occult injuries to the diaphragm: prospec-tive evaluation of laparoscopy in penetrating injuries to the left chest. J Am Coll Surg 1998;187:626-630.CrossRefPubMedGoogle Scholar
  6. Soto JA, Morales C, Munera F, Sanabria A, Guevara JM, Suarez T. Penetrating stab wounds to the abdomen: use of serial US and contrast-enhanced CT in stable patients. Radiology 2001;220:365-371.PubMedGoogle Scholar
  7. Thal ER. Evaluation of peritoneal lavage and local exploration in lower chest and abdomi-nal stab wounds. J Trauma 1977;17:642-648.CrossRefPubMedGoogle Scholar

Suggested Readings

  1. Ahmed N, Whalen J, Brownlee J, et al. The contribution of laparoscopy in evaluation of penetrating abdominal wounds. J Am Coll Surg 2005;201(2):213-216.CrossRefPubMedGoogle Scholar
  2. Burnweit CA, Thal ER. Significance of omental evisceration in abdominal stab wounds. Am J Surg 1986;152(6):670-673.CrossRefPubMedGoogle Scholar
  3. D’Amelio LF, Rhodes M. A reassessment of the peritoneal lavage leukocyte count in blunt abdominal trauma. J Trauma 1990;30:1291-1293.PubMedCrossRefGoogle Scholar
  4. De Lacy AM, Pera M, Garcia-Valdecasas JC, et al. Management of penetrating abdominal stab wounds. Br J Surg 1988;75(3):231-233.CrossRefPubMedGoogle Scholar
  5. Fabiani P, Iannelli A, Mazza D, et al. Diagnostic and therapeutic laparoscopy for stab wounds of the anterior abdomen. J Laparoendosc Adv Surg Tech 2003;13(5):309-312.CrossRefGoogle Scholar
  6. Ivatury RR, Simon RJ, Stahl WM. A critical evaluation of laparoscopy in penetrating abdominal trauma. J Trauma 1993;34:822-827.PubMedCrossRefGoogle Scholar
  7. Lee WC, Uddo JF Jr, Nance FC. Surgical judgment in the management of abdomi-nal stab wounds: utilizing clinical criteria from a 10-year experience. Ann Surg 1984;199(5):549-554.CrossRefPubMedGoogle Scholar
  8. Leppaniemi A, Salo J, Haapianen R. Complications of negative laparotomy for truncal stab wounds. J Trauma Injury Infect Crit Care 1995;38(1):54-58.CrossRefGoogle Scholar
  9. Leppäniemi AK, Haapiainen RK. Selective nonoperative management of abdominal stab wounds: prospective, randomized study. World J Surg 1996;20(8):1101-1106.CrossRefPubMedGoogle Scholar
  10. Leppäniemi AK, Voutilainen PR, Haapiainen RK. Indications for early mandatory laparot-omy in abdominal stab wounds. Br J Surg 2003;86(1):76-80.CrossRefGoogle Scholar
  11. Liu M, Lee CH, P’eng FK. Prospective comparison of diagnostic peritoneal lavage, com-puted tomographic scanning, and ultrasonography for the diagnosis of blunt abdomi-nal trauma. J Trauma 1993;35(2):267-270.CrossRefPubMedGoogle Scholar
  12. Livingston DH, Tortella BJ, Blackwood J, Machiedo GW, Rush BF. The role of laparos-copy in abdominal trauma. J Trauma 1992;33:471-475.CrossRefPubMedGoogle Scholar
  13. Marks JM, Youngelman DF, Berk T. Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma. Surg Endosc 1997;11:272-276.CrossRefPubMedGoogle Scholar
  14. Nagy K, Roberts R, Joseph K, Barrett J. Evisceration after abdominal stab wounds: is laparotomy required? J Trauma Injury Infect Crit Care 1999;47(4):622.CrossRefGoogle Scholar
  15. 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(4):446-450.CrossRefPubMedGoogle Scholar
  16. Robin AP, Andrews JR, Lange DA, Roberts RR, Moska M, Barrett JA. Selective manage-ment of anterior abdominal stab wounds. J Trauma 1989;29(12):1684-1689.CrossRefPubMedGoogle Scholar
  17. Rosemurgy AS 2nd, Albrink MH, Olson SM, et al. Abdominal stab wound protocol: pro-spective study documents applicability for widespread use. Am Surg 1995;61(2):112-116.PubMedGoogle Scholar
  18. Salvino CK, Esposito TJ, Marshall WJ, Dries DJ, Morris RC, Gamelli RL. The role of diagnostic laparoscopy in the management of trauma patients: a preliminary assess-ment. J Trauma 1993;34:506-513.PubMedGoogle Scholar
  19. Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Scalea TM. Triple-contrast helical CT in penetrating torso trauma: a prospective study to determine peritoneal violation and the need for laparotomy. AJR 2001;177;1247-1256.PubMedGoogle Scholar
  20. Shorr RM, Gottlieb MM, Webb K, Ishiguro L, Berne TV. Selective management of abdominal stab wounds: importance of the physical examination. Arch Surg 1988;123(9):1141-1145.PubMedGoogle Scholar
  21. Taviloglu K, Günay K, Ertekin C, Calis A, Türel Ö. Abdominal stab wounds: the role of selective management. Eur J Surg 1998;164(1):17-21.CrossRefPubMedGoogle Scholar
  22. Thomsen JS, Moore EE, Van Duzer-Moore S, Moore JB, Galloway AC. The evolution of abdominal stab wound management. J Trauma 1980;20(6):478-484.Google Scholar
  23. Zantut LF, Ivatury RR, Smith RS, et al. Diagnostic and therapeutic laparoscopy for pen-etrating abdominal trauma: a multicenter experience. J Trauma 1997;42:825-831.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Kristen C. Sihler
    • 1
  • Samuel E. Bledsoe
    • 2
  • Ronald H. Clements
    • 3
  • Barbara Latenser
    • 4
  • Kristen C. Sihler
    • 1
  1. 1.Department of SurgeryUniversity of MichiganAnn ArborUSA
  2. 2.Department of SurgeryPhysicians Medical Center CarrawayBirminghamUSA
  3. 3.University of Alabama-BirminghamUSA
  4. 4.Department of Burn SurgeryUniversity of Iowa Carver College of MedicineIowa CityUSA

Personalised recommendations