Abdominal Injury from the past to the present

Authors

Amonpon Kanlerd, Division of General Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Klongluang, Pathumtani, Thailand 12121

Keywords

Abdominal injury, History of abdominal injury management, Initial assessment of abdominal injured patient, Indications for immediate exploration

Abstract

The incidence of abdominal injury is 7 - 10% of all trauma cases and trending to increase frequency by 1.6% per year. Abdominal injury management is changing over time. Currently, the paradigm shifted from mandatory exploration to the era of selective non-operative management, based on the evidence of 25 - 40% non-therapeutic exploration rate in penetrating anterior abdominal injury and blunt abdominal injury who received mandatory laparotomy. However, classic indications for immediate laparotomy remain the same such as hemodynamic instability, generalized peritonitis, evidence of GI injury, diaphragm injury, intraperitoneal bladder rupture, evisceration and impalement in situ.

Recommended Citation

Kanlerd, Amonpon. 2019 Abdominal Injury from the past to the present. Asian Medical Journal and Alternative Medicine. 19, 4 (Oct. 2019 ), 667-674.
Available at: https://doi.org/10.70933/2773-9465.1808

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