Hd. Elidrissi et al., PENETRATING TRAUMA OF THE ABDOMEN - RESUL TS OF 2 CLASSICAL AND SELECTIVE ATTITUDES IN 249 TRAUMAS, Journal de chirurgie, 131(8-9), 1994, pp. 375-377
The systematic surgical exploration of each abdominal penetrating woun
d allows an exact out-come of lesions and an adequat treatment without
delay. But these advantages are made upon a possibly 30% negative lap
arotomy. The selective attitude in the management of these abdominal's
wounds has permitted to decrease this rate to 5% with a risk of secon
dary operation for non primary detected lesions in 5 %. Our attitude t
oward 249 penetrative abdominal's wounds was classic and selectible re
spectively from 86 to 89 and 90 to 93. The results has confirmed the l
itterature's date and especially has shown no significant difference b
etween the two attitude concerning the morbidity and the mortality.