Volume 5, Number 1 (1-2004)                   yafte 2004, 5(1): 27-34 | Back to browse issues page

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Towliat kashani M, Mehrvarz S, Panahi F. Selective non-operative management in abdominal gunshot wounds. yafte. 2004; 5 (1) :27-34
URL: http://yafte.lums.ac.ir/article-1-959-en.html

Abstract:   (8404 Views)
Introduction: Effects of high velocity bullet in Abdominal wall injuries specially the blast effect on intra abdominal organs needs mandatory explorative laparatomy to manage any major and minor injuries . Usually many explorative laparatomies are negative , but it can be reduced by advanced radiologic techniques such as ultrasonography ,CT – Scan , MRI preoperatively. In patients with negative physical examination to diagnose any intra abdominal bleeding , or gastrointestinal tract perforations , other techniques are suggestive for selective non-operative management. Materials & Methods: This is a review article study .We searched all Medline, surgery and trauma text books.we have analyzed the advantages and disadvantages of the selective non-operative managements. Findings and Conclusion : Because of today affinity to conservative and non aggressive management , many surgeons try to manage the abdominal trauma by conservative management. We found satisfied results in our study , we found that if we manage these patients in a trauma center , the selective non operative management for abdominal gunshot wounds would be a safe way , reduces hospital costs , and stops the unnecessary laparatomies. We should be enough careful to approve the selective non-operative management in next clinical trials studies.
Full-Text [DOC 98 kb]   (1156 Downloads)    
Type of Study: Research |
Received: 2013/01/5

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