Mandatory laparotomy for gunshot wounds penetrating the abdomen

Ernest E. Moore, John B. Moore, Sarah Van Duzer-Moore, Jon S. Thompson

Research output: Contribution to journalArticle

103 Citations (Scopus)

Abstract

A 4 year experience with 245 patients with isolated lower thoracic or anterior abdominal gunshot wounds was reviewed. Twenty-three (16 percent) of the 144 abdominal injuries were clinically superficial and all were managed successfully nonoperatively. Of the remaining 121 patients, 115 were confirmed to have peritoneal violation at laparotomy and 111 (96 percent) of these had significant visceral injuries. Of the 101 patients with lower chest wounds, 47 had peritoneal violation and 45 (96 percent) had intrabdominal injuries. Twenty-six (17 percent) of the 156 patients with intraperitoneal trauma had unimpressive physical signs on admission. These findings support a policy of routine exploration for gunshot wounds violating the peritoneum. When depth of penetration is uncertain, diagnostic peritoneal lavage should be used. Only those patients with unequivocally superficial injuries warrant observation.

Original languageEnglish (US)
Pages (from-to)847-851
Number of pages5
JournalThe American Journal of Surgery
Volume140
Issue number6
DOIs
StatePublished - Dec 1980

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Gunshot Wounds
Abdomen
Laparotomy
Wounds and Injuries
Thorax
Peritoneal Lavage
Abdominal Injuries
Peritoneum
Observation

ASJC Scopus subject areas

  • Surgery

Cite this

Mandatory laparotomy for gunshot wounds penetrating the abdomen. / Moore, Ernest E.; Moore, John B.; Van Duzer-Moore, Sarah; Thompson, Jon S.

In: The American Journal of Surgery, Vol. 140, No. 6, 12.1980, p. 847-851.

Research output: Contribution to journalArticle

Moore, Ernest E. ; Moore, John B. ; Van Duzer-Moore, Sarah ; Thompson, Jon S. / Mandatory laparotomy for gunshot wounds penetrating the abdomen. In: The American Journal of Surgery. 1980 ; Vol. 140, No. 6. pp. 847-851.
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