case study Abdominal Stab Wounds

Jun 18th, 2015
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A stab wound is a penetrating wound made by anything sharp. This includes knives, ice picks, screwdrivers, pens, scissors, arrows, or animal horns. Classically, stab wounds are low-velocity penetrating wounds that damage tissue the offending weapon passes through. Severity depends on the location of the stab wound, the manner of stabbing, the depth of penetration, and the type of weapon used. Regardless of the above, the victim almost always experiences pain and bleeding, with some very rare occasions they are unaware something has penetrated their bodies. The most common site of stab wounds is the abdominal area, more on the upper left region than right.

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A stab wound is a penetrating wound made by anything sharp. This includes knives, ice picks, screwdrivers, pens, scissors, arrows, or animal horns. Classically, stab wounds are low-velocity penetrating wounds that damage tissue the offending weapon passes through. Severity depends on the location of the stab wound, the manner of stabbing, the depth of penetration, and the type of weapon used. Regardless of the above, the victim almost always experiences pain and bleeding, with some very rare occasions they are unaware something has penetrated their bodies. The most common site of stab wounds is the abdominal area, more on the upper left region than right. Abdominal Stab WoundsIn the 19th century, penetrating abdominal wounds were managed non-operatively. The associated morbidity and mortality rates were greater than 70%. Experience gained during World War I, World War II, and the Korean Conflict led to an aggressive approach of operative management for all penetrating abdominal wounds. This approach resulted in an unacceptably high frequency of laparotomy with findings negative for trauma. In 1960, Shaftan developed an approach of selective conservatism for penetrating abdominal injury and revolutionized abdominal stab wound management. The optimal method to determine the need for laparotomy has yet to be definitively established. Abdominal stab wound exploration forms part of a strategy developed by surgeons to allow a more selective approach. In asymptomatic

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