PENETRATING TRAUMA OF THE ABDOMEN - RESUL TS OF 2 CLASSICAL AND SELECTIVE ATTITUDES IN 249 TRAUMAS

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.