ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2020
[Penetrating abdominal trauma].
Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 13 citations in OpenAlex.
- Emergency laparotomies in trauma management: a six-year case series.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Comparative effectiveness of FAST combined with MRI and CT in wound evaluation of blunt abdominal trauma.Frontiers in medicine · 2025Article
- Comparison of Clinical Characteristics, Therapy, and Short-Term Prognosis between Blunt and Penetrating Abdominal Trauma: A Multicentric Retrospective Cohort Study.Emergency medicine international · 2024Article
- Ultrasound-guided interventional approach to intraperitoneal nail gun injury: A case report with literature review.Clinical case reports · 2023Article
- Penetrating Abdominal Trauma: Descriptive Analysis of a Case Series From an Indian Metropolitan City.Cureus · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The management of patients with penetrating abdominal trauma has significantly changed in recent years. While exploratory laparotomy was the gold standard in Germany in all patients up to the 1970s, selective nonoperative management (SNOM) is increasingly being discussed in hemodynamically stable patients without pathological findings in computed tomography (CT) scan or extended focussed assessment with sonography for trauma (eFAST). A standard algorithm taking a balance between invasiveness, patient safety and the use of resources into account has still to be implemented in Germany. The presented algorithm includes an immediate laparotomy in hemodynamically unstable patients as damage control surgery followed by a second look procedure after 48 h. Hemodynamically stable patients should primarily undergo diagnostic laparoscopy and be treated by early total care surgery, depending on the clinical and diagnostic imaging findings. Patients without clinical symptoms or pathological findings in imaging studies should be treated according to SNOM with close clinical controls.
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