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Related Experiment Videos

Posterior abdominal stab wounds

J J Peck, T V Berne

    The Journal of Trauma
    |April 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Selective management of posterior abdominal stab wounds is effective. Clinical findings like localized tenderness and bowel sounds help identify serious injuries, reducing unnecessary surgeries.

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    Area of Science:

    • Trauma Surgery
    • Emergency Medicine

    Background:

    • Review of selective management for posterior abdominal stab wounds.
    • Focus on 465 patients treated with celiotomy based on clinical findings.

    Observation:

    • Non-localized tenderness and absent/rare bowel sounds indicated serious injuries.
    • Flank injuries were more common than back injuries.
    • Colon was the most frequently injured organ.

    Findings:

    • 8% of patients did not require surgery.
    • 14% sustained significant organ injury.
    • Overall morbidity was 11%, with a 1.1% mortality rate.

    Implications:

    • Selective management is a reliable approach for posterior abdominal stab wounds.
    • Clinical assessment is key in identifying patients needing celiotomy.
    • Minimally invasive techniques and observation can be safely employed.