Objective: To determine if the treatment of penetrating colonic injury must include fecal diversion at or proximal to the injury, to avoid sepsis and mortality. Data source: Studies were identified by searching MEDLINE 1966–2001, the Cochrane Controlled Trials Registry and EMBASE. Study selection: Studies were included if they were randomized controlled trials comparing outcomes of primary repa...

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. ...

BACKGROUND : Although there is no debate that patients with peritonitis or hemodynamic instability should undergo urgent laparotomy after penetrating injury to the abdomen, it is also clear that certain stable patients without peritonitis may be managed without operation. The practice of deciding which patients may not need surgery after penetrating abdominal wounds has been termed selective ma...

Isolated duodenal injury after blunt abdominal trauma is a very rare entity. In contrast to penetrating injuries, duodenal injuries after blunt trauma are difficult to diagnose. Early diagnosis and management is required to prevent high morbidity and mortality associated with these injuries. We present three young patients of blunt abdominal trauma with an isolated injury to duodenum in which p...

Introduction Serious abdominal trauma as a result of sporting activities is an uncommon problem. However, because of its relative infrequency, injuries may sometimes go undiagnosed. Significant blunt abdominal injuries do not present in the same way as major orthopaedic injuries, usually because these injuries are, for the most part, internal and concealed. Thankfully penetrating injuries are q...