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. ...

conclusions it seems serial clinical examinations are safe and decrease the cost and duration of hospitalization in stable patients with anterior abdominal wall stab wounds. results ninety-one men (91%) and 9 women (9%) with mean age of 27 ± 10.7 years were included. coexisting injuries were prevalent in 12 cases. the duration of hospitalization was 1 day in 31%, 2 days in 30%, 3 - 4 days in 32...

introduction: screening of patients with anterior abdominal penetrating trauma in need for laparotomy is an important issue in management of these cases. this study aimed to compare the accuracy of abdominal wall ultrasonography (awu) and local wound exploration (lwe) in this regard. methods: this diagnostic accuracy study was conducted on ≥ 18 year-old patients presenting to emergency departme...

INTRODUCTION The management of the hemodynamically stable patients with penetrating abdominal stab wounds is a problematic issue among trauma surgeons. METHODS In a retrospective study, we analyzed stable patients with anterior abdominal stab wound from August 2009 to 2010. The patients who were hemodynamically unstable or had developed peritonitis were excluded. In our center, the patients a...

Clinical practice guidelines have been shown to improve the delivery of care. Anterior abdominal stab wounds, although uncommon, pose a challenge in both rural and urban trauma care. A multidisciplinary working party was established to assist in the development of evidence-based guidelines to answer three key clinical questions: (i) What is the ideal prehospital management of anterior abdominal...

BACKGROUND The current approach in stab wounds of the anterior abdominal wall is still unclear. OBJECTIVES The goal of this study was to evaluate serial clinical examinations of patients with abdominal wall stab wounds referred to Poursina Hospital in Rasht. PATIENTS AND METHODS In a cross sectional study, 100 cases with stab wounds to the anterior abdominal wall were examined serially (adm...

INTRODUCTION Screening of patients with anterior abdominal penetrating trauma in need for laparotomy is an important issue in management of these cases. This study aimed to compare the accuracy of abdominal wall ultrasonography (AWU) and local wound exploration (LWE) in this regard. METHODS This diagnostic accuracy study was conducted on ≥ 18 year-old patients presenting to emergency departme...

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. ...

AIM The authors analyse clinical cases of penetrating thoracic, abdominal, perineal and anorectal injury and describe the traumatic event and type of lesion, the principles of surgical treatment, the complication rate and follow up. MATERIALS AND METHODS In the last 24 months, we analyzed 10 consecutive cases of penetrating thoracic and abdominal wounds [stab wound (n=7), with evisceration (n...

abstract background: there are a large number of patients with penetrating abdominal trauma who have normal vital signs and negative abdominal examination when referred to trauma centers. agreat deal of controversy exists between authorities about screening these patients for emergency explorative laparotomy. many references have reported more than 90% sensitivity for dpl as a diagnostic method...