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Thu Oct 22 21:52:22 BST 2009

I am shocked (and dismayed) that no one, anyone, is recommending diagnostic
laparoscopy in this case.  Laparoscopy gives you answers.

C. Ursic, MD
general surgeon

On Sun, Oct 18, 2009 at 9:23 AM, josemaya01 <josemaya01 at prodigy.net.mx>wrote:

> There is a good deal of information that in select cases like this one, a
> conservative approach (non surgical) is warranted if the ttrauma team can
> committ to serial exams.
>
> José Mayagoitia MD
> Hospital General de Mexicali, México
> De : "fiaz fazili" fiazmfazili at yahoo.com
> Para : trauma-list at trauma.org
> Copia :
> Fecha : Fri, 16 Oct 2009 10:59:30 -0700 (PDT)
> Asunto : selectice conservative management of stab injury abdomen-role of
> ct in pt wthout peritonitis , hemodynamically stable pt
>
>
> > a 28 ys male was admitted because of having stab injury anterior abdomen,
> even after 8hrs he was hemodynamically stable, no tachycardi, no fever ,not
> complaining of pain abdomen,no signs of peritonitis,no evisceration of bowel
>  omentum- ;no pneumoperitoneum, LWE and ct scan not definitive for
> penetraion of post sheath,some  inflammatory changes  upto muscle---;with
> minimal collection in pelvis- no hb fall- shold we operate on this isplated
> finding or proceed with selective conservative management with serial
> physical exam available ,having been initially examind by surgical
> specialist and same spoecilist is is on duty for next 24 hrsplease
> advise--dr fiaz fazili
> >
> >
> >
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Did gyre and gimble in the wabe:
All mimsy were the borogoves,
And the mome raths outgrabe.

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Ref:selectice conservative management of stab injury abdomen-role of ct in pt wthout peritonitis , hemodynamically stable pt