TY - JOUR T1 - Selective non-operative management in abdominal gunshot wounds TT - درمان غیر جراحی انتخابی در اصابت گلوله به شکم JF - Yafteh JO - Yafteh VL - 5 IS - 1 UR - http://yafte.lums.ac.ir/article-1-959-en.html Y1 - 2004 SP - 27 EP - 34 KW - Selective non-operative management KW - High velocity Bullets KW - laparatomy N2 - 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. M3 ER -