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Penetrating Abdominal Trauma

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Textbook of Polytrauma Management

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Abstract

Management of penetrating abdominal injuries has changed over time, evolving from mandatory laparotomy (LAP) and now including selective nonoperative management (SNOM). Indications for immediate LAP include hemodynamic instability, evisceration, peritonitis, or impalement. SNOM of stable, asymptomatic patients has been demonstrated to be safe. Adjunctive diagnostic testing (ultrasonography, computed tomography, local wound exploration, diagnostic peritoneal lavage, laparoscopy) may aid in identifying significant injuries that require operative management. However, prospective studies indicate that these tests are not cost-effective and frequently lead to nontherapeutic LAP.

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Authors and Affiliations

  1. Scripps Memorial Hospital La Jolla, La Jolla, CA, USA

    Ning Lu & Walter L. Biffl

Authors
  1. Ning Lu
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  2. Walter L. Biffl
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Correspondence to Ning Lu .

Editor information

Editors and Affiliations

  1. Department of Trauma Surgery, University Hospital Zürich, Zürich, Switzerland

    Hans-Christoph Pape

  2. Department of Orthopaedic Surgery & Sports Medicine, The University of South Florida Morsani College of Medicine, Tampa, FL, USA

    Joseph Borrelli Jr.

  3. Ernest E. Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA

    Ernest E. Moore

  4. Klinik für Traumatologie, University Hospital of Zürich, Zürich, Switzerland

    Roman Pfeifer

  5. Rocky Vista University, College of Osteopathic Medicine, Parker, CO, USA

    Philip F. Stahel

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Lu, N., Biffl, W.L. (2022). Penetrating Abdominal Trauma. In: Pape, HC., Borrelli Jr., J., Moore, E.E., Pfeifer, R., Stahel, P.F. (eds) Textbook of Polytrauma Management . Springer, Cham. https://doi.org/10.1007/978-3-030-95906-7_18

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  • DOI: https://doi.org/10.1007/978-3-030-95906-7_18

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