Calderón MD, Mairena SA, Mata EC

Language: Spanish
References: 12
Page: 321-326
PDF size: 176.67 Kb.

ABSTRACT

Presentation of penetrating trauma patients increased worldwide, trauma is divided into stab wounds and firearm wounds. They are potentially life threatening because there are associated with hemorrhagic shock and visceral injury. Evaluation of these patients begins with a detail clinical history and physical examination, in conjunction with imaging and diagnostic tests assist therapeutic decisions. Hypotension and peritonitis are indications for a surgical approach, if there are not such signs, a no surgical management can be provided, which is part of management new trend, for these kind of patients. The current surgical approach, offers exploratory laparotomy versus laparoscopy, there is a trend to use laparoscopy because it is a method that reduces the number of laparotomies and patient morbidity. The use of prophylactic antibiotic therapy to prevent infection is in debate. The penetrating trauma patient approach is highly important, because each case is unique and should be individually addressed, to provide the best to the patient and reduce morbidity and mortality rates.

REFERENCES

1. Butt M, Zacharías N, Velmahos G. Penetrating abdominal injuries: management controversies. Scand J Trauma Resusc Emerg Med. 2009; 17:19

2. Comité de Trauma del Colegio Americano de Cirujanos. Programa Avanzado de Apoyo Vital en Trauma para Médicos. Manual del Curso. Sétima Edición.

3. Ghariani B, Houissa H, Sebai F. Manejo laparoscopico de las heridas abdominals. El medicale Túnez. 2010; 88(4): 245-249

4. Hady H, Luba M, Mysliwiec P, Trochimowicz L, Lukaszewicz J, Zurawska J, Robert J, Dadan J. Surgical Management in parenchymatous organ injuries due to blunt and penetrating abdominal traumas- The author’s experience. Adv Clin Exp Med 2012, 21 (2): 193-200

5. Hashemzadeh S, Mameghani K, Fouladi R, Ansari E. Diagnostic peritoneal lavage in hemodynamically stable patients with lower chest or anterior abdominal stab wounds. Turk J Trauma Emerg Surg 2012; 18 (1): 37-42

6. Karateke F, Özdogan M, Özyazici S, Das K, Menekse E, Gülnerman Y, Balí Í, Önel S, Gökler C. The management of penetrating abdominal trauma by diagnostic laparoscopy: a prospective nonrandomized study. Turk J Trauma Emerg Surg 2013; 19 (1): 53-57

7. Krausz M, Abbou B, Hershko D, Mahajna A, Duek D, Bishara B, Israelit S. Laparoscopic diagnostic peritoneal lavage (L-DPL): A method for evaluation of penetrating abdominal stab wounds. World Journal of Emergency Surgery 2006; 1:3

8. Padur T, Kadam D, Shetty P, Kenjar K, Muralishankar BG, Shenoy S. Penetrating abdominal injury in polytrauma patient: Anaesthetic challenges faced. J Anaesthesiol Clin Pharmacol. 2011; 27(2): 272-274.

9. Raza M, Abbas Y, Devi V, Venkatachalam K, Naurouz K, Padmanathan P. Non operative managemente of abdominal trauma – a 10 years review. World Journal of Emergency Surgery 2013,8: 14

10. Saad J, Goncalvez R.Must all diaphragmatic penetrating wounds be sutured? Rev Col Bras Cir 2012; 39(3): 222-225

11. Schnüriger B, Talving P, Barbarino R, Barmparas G, Inaba K, Demetriades D. Current practice and the role of the CT in the management of penetrating liver injuries at a Level I trauma center. J Emerg Trauma Shock. 2011; 4 (1): 53-57

12. Vieira S, De Lima B, Rocha M, Alves M, Fernandes D. Non operative management of gunshots wounds on the right thoracoabdomen. Rev Col Bras Cir 2012; 39(4): 286-294.