R Saadia1, E Degiannis. 1. Departments of Surgery, University of Manitoba and Health Sciences Centre, Winnipeg, Canada.
Abstract
BACKGROUND: Non-operative treatment is a management option that challenges the traditional mandatory laparotomy for abdominal gunshot injuries. METHODS: All published relevant clinical reports were retrieved by searching through the Medline database and manually. The theoretical arguments in favour of non-operative management as well as the results of the reviewed reports are analysed and evaluated. RESULTS AND CONCLUSION: Patients with proven non-penetration of the abdominal cavity can be offered conservative treatment with a satisfactory outcome. Greater caution should be exercised in the presence of a documented visceral injury until the safety of this option has been established by further clinical trials.
BACKGROUND: Non-operative treatment is a management option that challenges the traditional mandatory laparotomy for abdominal gunshot injuries. METHODS: All published relevant clinical reports were retrieved by searching through the Medline database and manually. The theoretical arguments in favour of non-operative management as well as the results of the reviewed reports are analysed and evaluated. RESULTS AND CONCLUSION:Patients with proven non-penetration of the abdominal cavity can be offered conservative treatment with a satisfactory outcome. Greater caution should be exercised in the presence of a documented visceral injury until the safety of this option has been established by further clinical trials.
Authors: G C Velmahos; D Demetriades; K G Toutouzas; G Sarkisyan; L S Chan; R Ishak; K Alo; P Vassiliu; J A Murray; A Salim; J Asensio; H Belzberg; N Katkhouda; T V Berne Journal: Ann Surg Date: 2001-09 Impact factor: 12.969
Authors: Aziza N Al Rawahi; Derek J Roberts; Fatma A Al Hinai; Jamie M Boyd; Christopher J Doig; Chad G Ball; George C Velmahos; Andrew W Kirkpatrick; Pradeep H Navsaria Journal: World J Emerg Surg Date: 2018-11-27 Impact factor: 5.469