The American Journal of Surgery
Volume 198, Issue 2 , Pages 223-226 , August 2009

Local wound exploration remains a valuable triage tool for the evaluation of anterior abdominal stab wounds

Presented at the 60th Annual Meeting of the Southwestern Surgical Congress, April 1, 2008, Acapulco, Mexico.

Received 9 September 2008 ,Revised 13 November 2008

References 

  1. Como JJ, Bokhari F, Chui WC, et al. Practice management guidelines for nonoperative management of penetrating abdominal trauma (EAST guidelines). http://www.east.org/tpg/nonoppene.pdfAccessed: September 2, 2007
  2. Thal ER. Evaluation of peritoneal lavage and local exploration in lower chest and abdominal stab wounds. J Trauma. 1977;17:642–648
  3. Oreskovich MR, Carrico CJ. Stab wounds of the anterior abdomen (Analysis of a management plan using local wound exploration and quantitative peritoneal lavage). Ann Surg. 1983;198:411–419
  4. Shaftan GW. Indications for operation in abdominal trauma. Am J Surg. 1960;99:657–664
  5. Thompson JS, Moore EE, Van Duzer-Moore S, et al. The evolution of abdominal stab wounds management. J Trauma. 1980;20:478–484
  6. Markovchik V, Elerding SC, Moore EE, et al. Technique for diagnostic peritoneal lavage. JACEP. 1979;8:326–328
  7. McAnena OJ, Marx JA, Moore EE. Peritoneal lavage enzyme determinations following blunt and penetrating abdominal trauma. J Trauma. 1991;31:1161–1164
  8. Velmahos GC, Constantinou C, Tillou A, et al. Abdominal computed tomographic scan for patients with gunshot wounds to the abdomen selected for nonoperative management. J Trauma. 2005;59:1155–1161
  9. Munera F, Morales C, Soto JA, et al. Gunshot wounds of the abdomen: evaluation of stable patients with triple-contrast helical CT. Radiology. 2004;231:399–405
  10. Grossman MD, May AK, Schwab CW, et al. Determining anatomic injury with computed tomography in selected torso gunshot wounds. J Trauma. 1998;45:446–456
  11. Ginzburg E, Carrillo EH, Kopelman T, et al. The role of computed tomography in selective management of gunshot wounds to the abdomen and flank. J Trauma. 1998;45:1005–1009
  12. Phillips T, Scalfani SJA, Goldstein A, et al. Use of contrast-enhanced CT enema in the management of penetrating trauma to the flank and back. J Trauma. 1986;26:593–601
  13. Hauser CJ, Huprich JE, Bosco P, et al. Triple-contrast computed tomography in the evaluation of penetrating posterior abdominal injuries. Arch Surg. 1987;122:1112–1115
  14. McAllister E, Perez M, Albrinck MH, et al. Is triple contrast computed tomographic scanning useful in the selective management of stab wounds to the back?. J Trauma. 1994;37:401–403
  15. Demetriades D, Velmahos GC. Indications for and techniques of laparotomy. In:  Feliciano DV,  Mattox KL,  Moore EE editor. Trauma. 6th ed.. New York: McGraw-Hill; 2008;
  16. Tsikitis V, Biffl WL, Majercik S, et al. Selective clinical management of anterior abdominal stab wounds. Am J Surg. 2004;188:807–812
  17. Demetriades D, Rabinowitz B. Indications for operation in abdominal stab wounds (A prospective study of 651 patients). Ann Surg. 1987;205:129–132
  18. Sarin E, Kashuk JL, Cothren CC, et al. Not so fast: diagnostic peritoneal lavage remains a valuable adjunct to modern imaging techniques. J Trauma. 2007;6:1428
  19. Salim A, Sangthong B, Martin M, et al. Use of computed tomography in anterior abdominal stab wounds. Arch Surg. 2006;141:745–752
  20. 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;29:446–450
  21. Shanmuganathan K, Mirvis SE, Chiu WC, et al. Penetrating torso trauma: triple-contrast helical CT in peritoneal violation and organ injury: a prospective study in 200 patients. Radiology. 2004;231:775–784
  22. Nance FC, Wennar MH, Johnson LW, et al. Surgical judgment in the management of penetrating wounds of the abdomen: experience with 2,212 patients. Ann Surg. 1974;179:639–645
  23. Shorr RM, Gottlieb MM, Webb K, et al. Selective management of abdominal stab wounds: importance of the physical examination. Arch Surg. 1988;123:1141–1145
  24. Van Haarst EP, van Bezooijen BP, Coene PP, et al. The efficacy of abdominal examination in penetrating abdominal trauma. Injury. 1999;30:599–604
  25. McAlvanah MJ, Shaftan GW. Selective conservatism in penetrating abdominal wounds: a continuing reappraisal. J Trauma. 1978;18:206–212
  26. Soto JA, Morales C, Munera F, et al. Penetrating stab wounds to the abdomen: use of serial US and contrast-enhanced CT in stable patients. Radiology. 2001;220:365–371
  27. Demetriades D, Hadjizacharia P, Constantinou C, et al. Selective nonoperative management of penetrating abdominal solid organ injuries. Ann Surg. 2006;244:620–628
  28. Feliciano DV, Bitondo CG, Steed G, et al. Five hundred open taps or lavages in patients with abdominal stab wounds. Am J Surg. 1984;148:772–777
  29. Biffl WL, Cothren CC, Brasel KJ, et al. A prospective observational multicenter study of the optimal management of patients with anterior abdominal stab wounds. J Trauma, in press.

PII: S0002-9610(08)00902-1

doi: 10.1016/j.amjsurg.2008.11.024

The American Journal of Surgery
Volume 198, Issue 2 , Pages 223-226 , August 2009