n South African Journal of Surgery - Abdominal gunshot wounds - current status of selective non-operative management : editorial




Extracted from text ... Editorial SAJS 4 VOL 42, NO. 1, FEBRUARY 2004 SAJS The standard of care for abdominal gunshot wounds has traditionally been mandatory laparotomy. This was also the case for abdominal stab wounds until the beginning of the 1980s, by which time selective non-operative management (SNOM) had become an acceptable alternative for a selected group of patients. Adopting the same policy for gunshot wounds of the abdomen has created resistance due to certain dissimilarities between the two mechanisms of penetrating trauma. Approximately one-third of stab wounds to the abdomen are associated with significant injury, while the same is true for approximately 80% of gunshot wounds. This is because gunshots result in a greater degree ..


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