Non-operative treatment of abdominal gunshot injuries
1Departments of Surgery, University of Manitoba and Health Sciences Centre, Winnipeg, Canada.
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.
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