복부 자상의 외과적 처치

Abstract

A total of 43 patients with abdominal stab wounds who were admitted to the department of general surgery, Keimyung University Hospital from January, 1979 to June, 1985 was clinically reviewed.

Routine exploration for the stab wounds of the abdomen was generally the rule until 1960. More recently, there has been a reassesment of this traditional approch and the policy of selective observation has been safely and effectively applied to the management of stab wounds in many-hospitals.

Thirty three (76.7%) out of 43 patients underwent celiotomy and one died from post operative pulmonary complication. Ten(23.3%) out of 43 patients were not operated and all recovered. Only 7 out of 33 patients who underwent celiotomy had visceral injury requring repair and the incidence of unnecessary laparatomy was 78.8 percent.

Selective conservative management is safe and avoids the risks of unnecessary laparatomy.