Penetrating abdominal stab wounds – current practice and recommendations

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Do Patients with Penetrating Abdominal Stab Wounds Require Laparotomy?

BACKGROUND The optimal management of hemodynamically stable asymptomatic patients with anterior abdominal stab wounds (AASWs) remains controversial. The goal is to identify and treat injuries in a safe cost-effective manner. Common evaluation strategies are local wound exploration (LWE), diagnostic peritoneal lavage (DPL), serial clinical assessment (SCAs) and computed tomography (CT) imaging. ...

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Evaluation of penetrating cardiac stab wounds

BACKGROUND The purpose of this study was to identify factors associated with unfavourable outcome following stab wounds to the heart in order to improve selection of patients who may benefit from resuscitative effort. METHODS From February to March, variables were collected from medical records of patients sustaining cardiac trauma. The inclusion criterion was the presence of a penetrating ca...

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Stab wounds penetrating the left atrium.

A stab wound penetrating the left atrium (excluding the left auricle) would have to penetrate through other chambers of the heart or through the great arteries at their origin from the heart to reach the left atrium from the front of the chest. Such wounds would be fatal, the patient dying from profuse haemorrhage within a few minutes. A stab wound through the back of the chest could reach the ...

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do patients with penetrating abdominal stab wounds require laparotomy?

background the optimal management of hemodynamically stable asymptomatic patients with anterior abdominal stab wounds (aasws) remains controversial. the goal is to identify and treat injuries in a safe cost-effective manner. common evaluation strategies are local wound exploration (lwe), diagnostic peritoneal lavage (dpl), serial clinical assessment (scas) and computed tomography (ct) imaging. ...

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Unnecessary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds.

BACKGROUND The modern management of penetrating abdominal trauma has decreased the incidence of unnecessary laparotomy by using selective non-operative management protocols. However, the real benefits of physical examination and different diagnostic methods are still unclear. METHODS From January 2000 to April 2003, we prospectively collected data on 117 patients with penetrating stab wounds ...

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ژورنال

عنوان ژورنال: Hamdan Medical Journal

سال: 2017

ISSN: 2227-2437

DOI: 10.7707/hmj.666