Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Penetrating abdominal injuries: management controversies | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Penetrating abdominal injuries management controversies Muhammad U Butt Nikolaos Zacharias and George C Velmahos Address Division of Trauma Emergency Surgery and Surgical Critical Care Massachusetts General Hospital and Harvard Medical School Boston MA USA Email Muhammad U Butt - umarbutt177@ Nikolaos Zacharias - nzacharias@ George C Velmahos - gvelmahos@ Corresponding author Published 17 April 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 19 doi 186 1757-7241-17-19 Received 12 February 2009 Accepted 17 April 2009 This article is available from http content 17 1 19 2009 Butt et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories potential for organ injury and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds the management of abdominal gunshot wounds remains a matter of controversy. In this chapter we describe the rationale and methodology of selecting patients for non-operative management. We also discuss additional controversial issues as related to antibiotic prophylaxis management of asymptomatic thoracoabdominal injuries and the use of colostomy vs. primary repair for colon injuries. Introduction Penetrating trauma of the abdomen continues to be a major cause of trauma admission in the United States. Stab wounds SW are encountered three times more often than gunshot wounds GSW
