Selective clinical management of anterior abdominal stab wounds.

Vassiliki Tsikitis, Walter L. Biffl, Sarah Majercik, David T. Harrington, William G. Cioffi

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

BACKGROUND: The optimal management of clinically stable patients with anterior abdominal stab wounds (AASWs) is debated. We implemented a protocol of serial clinical assessments to determine the need for laparotomy. The purpose of this study was to determine whether the approach is safe and effective. METHODS: Records of patients sustaining AASWs from 1999 to 2003 were reviewed. RESULTS: Seventy-seven patients sustained AASWs. Twenty-five were taken directly to the operating room because of hypotension (5), evisceration (7), or peritonitis (15). Seventeen patients had diagnostic peritoneal lavage (DPL) for associated thoracoabdominal wounds and 5 had local wound exploration (LWE) off protocol. The remaining 30 patients were managed with serial clinical assessments and were discharged uneventfully. CONCLUSION: Patients sustaining AASWs who present without hypotension, evisceration, or peritonitis may be managed safely under a protocol of serial clinical evaluations. This approach should be compared with LWE/DPL in a prospective, randomized multicenter trial.

Original languageEnglish (US)
Pages (from-to)807-812
Number of pages6
JournalAmerican Journal of Surgery
Volume188
Issue number6
StatePublished - Dec 2004
Externally publishedYes

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Stab Wounds
Peritoneal Lavage
Clinical Protocols
Peritonitis
Hypotension
Wounds and Injuries
Operating Rooms
Laparotomy
Multicenter Studies

ASJC Scopus subject areas

  • Surgery

Cite this

Tsikitis, V., Biffl, W. L., Majercik, S., Harrington, D. T., & Cioffi, W. G. (2004). Selective clinical management of anterior abdominal stab wounds. American Journal of Surgery, 188(6), 807-812.

Selective clinical management of anterior abdominal stab wounds. / Tsikitis, Vassiliki; Biffl, Walter L.; Majercik, Sarah; Harrington, David T.; Cioffi, William G.

In: American Journal of Surgery, Vol. 188, No. 6, 12.2004, p. 807-812.

Research output: Contribution to journalArticle

Tsikitis, V, Biffl, WL, Majercik, S, Harrington, DT & Cioffi, WG 2004, 'Selective clinical management of anterior abdominal stab wounds.', American Journal of Surgery, vol. 188, no. 6, pp. 807-812.
Tsikitis V, Biffl WL, Majercik S, Harrington DT, Cioffi WG. Selective clinical management of anterior abdominal stab wounds. American Journal of Surgery. 2004 Dec;188(6):807-812.
Tsikitis, Vassiliki ; Biffl, Walter L. ; Majercik, Sarah ; Harrington, David T. ; Cioffi, William G. / Selective clinical management of anterior abdominal stab wounds. In: American Journal of Surgery. 2004 ; Vol. 188, No. 6. pp. 807-812.
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