MANAGEMENT OF PENETRATING WOUNDS OF ABDOMEN, A REVIEW
HASHEM BARK AWADH ABOOD *
King Fahad Hospital, Albaha, SCFHS number: 06JM35635, Saudi Arabia.
ABDULLAH AWON A. ALSALOOLI
Bisha University, Bisha and Riyadh, Saudi Arabia.
ATHEER HAMAD SALEEM ALATAWI
King Fahad Specialty Hospital Tabuk, Saudi Arabia.
MOFAREH MOHAMMAD ALQAHTANI
Ahud Rufudih Hospital, Saudi Arabia.
MOHAMMED ALI HASSAN ZAREI
Abha Field Hospital, Saudi Arabia.
ABDULAZIZ JAMAL S. BATOOG
King Abdulaziz University, Jeddah, Saudi Arabia.
MOHAMMED NOUH A. ALMOHAMMEDSALEH
King Faisal University, Saudi Arabia.
NOUF MOHAMMED A. ALAQEL
Prince Metaab Hospital, Sakaka, Saudi Arabia.
FATEMA MAJEED ALMESHKHAS
Alsalam Specialist Hospital, Bahrain.
MESHARI IBRAHIM A. ALAYSHAN
Prince Metaab Hospital, Sakaka, Saudi Arabia.
SAUD YAHYA MOHAMMED SOMILI
Samtah General Hospital, Jazan, Saudi Arabia.
HANIN SAAD ALSHAMMARI
King Salman Hospital, Riyadh, Saudi Arabia.
SAMAR YAHIA ALSAYED ABDALLAH
Rejaal Almaa General Hospital, Asir, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
The small colon, big bowel, liver, and intra-abdominal vasculature are the most often injured organs in penetrating abdomen wounds. The treatment of individuals with penetrating abdominal has evolved during the past few years. The best way to treat abdominal stab wounds is still debatable. The objective is to locate injuries and treat them in a way that is both safe and economical. Local wound exploration (LWE), diagnostic peritoneal lavage (DPL), laparotomy, and computed tomography (CT) imaging are all common evaluation procedures. It has been demonstrated that clinical practice guidelines enhance healthcare delivery. Although they are rare, anterior abdominal stab wounds provide a problem for trauma management in both rural and urban areas. These clinical practice recommendations place a lot of emphasis on choosing the diagnostic and therapeutic methods that are the most trustworthy, safe, effective, and affordable. The guidelines will include evidence-based suggestions for treating patients who present to both rural and urban hospitals with anterior abdominal stab wounds. In this article we explain the types of the abdominal stab wounds and state the approaches which can be used to manage the abdominal stab wounds and the followed guidelines for ideal management.
Keywords: Penetrating abdominal injuries, wounds, laparotomy, diagnostic peritoneal lavage, screening laparoscopy