Management of stab wounds to the anterior abdominal wall

Revista do Colégio Brasileiro de Cirurgiões

João Baptista Rezende-neto¹  Hélio Machado Vieira Jr.¹  Bruno De Lima Rodrigues¹  Sandro Rizoli¹  Barto Nascimento¹  Gustavo Pereira Fraga¹ 

关键词: Abdominal injuries;    Wounds;    penetrating;    Tomography;    Laparoscopy;    Laparotomy;    Traumatismos abdominais;    Ferimentos penetrantes;    Tomografia;    Laparoscopia;    Laparotomia;   

DOI  :  10.1590/S0100-69912014000100015

来源: SciELO

【 摘 要 】

The meeting of the Publication "Evidence Based Telemedicine - Trauma and Emergency Surgery" (TBE-CiTE), through literature review, selected three recent articles on the treatment of victims stab wounds to the abdominal wall. The first study looked at the role of computed tomography (CT) in the treatment of patients with stab wounds to the abdominal wall. The second examined the use of laparoscopy over serial physical examinations to evaluate patients in need of laparotomy. The third did a review of surgical exploration of the abdominal wound, use of diagnostic peritoneal lavage and CT for the early identification of significant lesions and the best time for intervention. There was consensus to laparotomy in the presence of hemodynamic instability or signs of peritonitis, or evisceration. The wound should be explored under local anesthesia and if there is no injury to the aponeurosis the patient can be discharged. In the presence of penetration into the abdominal cavity, serial abdominal examinations are safe without CT. Laparoscopy is well indicated when there is doubt about any intracavitary lesion, in centers experienced in this method.

【 授权许可】

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