Evaluation of peritoneal lavage and local exploration in lower chest and abdominal stab wounds.

  title={Evaluation of peritoneal lavage and local exploration in lower chest and abdominal stab wounds.},
  author={E. Thal},
  journal={The Journal of trauma},
  volume={17 8},
  • E. Thal
  • Published 1977
  • Medicine
  • The Journal of trauma
One hundred twenty-three patients with lower chest and abdominal stab wounds were evaluated. If chest wounds were located between the two anterior axillary lines and abdominal examination was negative, peritoneal lavage was performed. If abdominal wounds were located between the two anterior axillary lines and physical examination was negative, local exploration was performed followed by lavage if local exploration was positive. Patients with negative lavage were observed and those with… Expand
The role of peritoneal lavage in the management of stab wounds to the abdomen.
In a 2 year period, 237 patients presented with stab wounds to the lower chest and anterior abdomen and one hundred forty-one patients underwent exploratory laparotomy, with an overall morbidity of 2.1 percent. Expand
Five hundred open taps or lavages in patients with abdominal stab wounds.
Local wound exploration coupled with open peritoneal tap and diagnostic peritoneAL lavage is recommended as a rapid, safe, and cost-effective technique for the evaluation of large numbers of asymptomatic patients who present with anterior abdominal stab wounds. Expand
Clinical uses of diagnostic peritoneal lavage in stab wounds of the anterior abdomen: a prospective study.
The use of DPL in patients with stab wounds of the anterior abdomen, using initial aspiration of gross blood from the lavage catheter of more than 10 ml or RBC count in the Lavage fluid of more the 10,000/mm3 as positive criteria for exploratory laparotomy, is safe and practical. Expand
Selective management of abdominal and thoracic stab wounds with established peritoneal penetration: the eviscerated omentum.
A policy of selective management of abdominal and thoracic stab wounds with omental evisceration or other evidence of peritoneal penetration with local wound care with amputation of the protruded omentum followed by close observation and monitoring of vital signs is safe surgical practice when noPeritoneal signs or other indication for urgent exploration are present on admission. Expand
Evaluation of diagnostic peritoneal lavage in suspected penetrating abdominal stab wounds using a dipstick technique
The total protein content and white blood cell count of diagnostic peritoneal lavage was assessed using a urine dipstick in 46 patients with suspected penetrating abdominal stab wounds and equivocal physical examination and provides an accurate, cheap, and rapid means of diagnosis of intra‐abdominal injury in penetrating trauma. Expand
When to Operate on Abdominal Stab Wounds
  • K. Taviloğlu
  • Medicine
  • Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society
  • 2002
This review summarizes and compares several studies and techniques on the treatment of stable patients with insignificant stab injuries of the abdomen and main controversial issues are routine exploration versus selective approach, the timing for exploration of the abdominal cavity and laparoscopy versus thoracoscopy for stable patientsWith insignificant injuries. Expand
Abdominal stab wounds: diagnostic peritoneal lavage criteria for emergency room discharge.
Abdominal stab wound patients that are hemodynamic stable can be safely sent home from the emergency room when DPL counts are less than 1000 RBCs/mm3, and Observation of hemodynamically stable patients allows for low laparotomy rates with minimal morbidity. Expand
Penetrating abdominal wounds. Rationale for exploratory laparotomy.
Although the adjunctive role of peritoneal lavage in the evaluation of penetrating wounds has substantially reduced unnecessary celiotomy, the safest policy is to explore the abdomen if any question of visceral injury exists. Expand
Unnecessary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds
The use of physical examination alone and/or together with different diagnostic methods allows reduction of non-therapeutic laparotomies and elimination of negative laparatomies. Expand
Peritoneal lavage. Its unreliability in gunshot wounds of the lower chest and abdomen.
It can be concluded from this study that patients who sustain gunshot wounds are best treated by exploratory celiotomy because of the inconsistent results of both lavage and physical examination. Expand