الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Shotgun injuries present specific challenges for the surgeon. Lately in Egypt, the incidence of abdominal shotgun injuries has greatly increased especially after 25th January revolution. There is controversy that exists over whether patients with penetrating abdominal shotgun wounds should have selective or mandatory exploration. This study tried to put a clear management plan for these cases. The study included 40 patients with penetrating abdominal shotgun injuries. The study showed that there is no need for routine abdominal exploration in all cases of penetrating abdominal shotgun injuries and the surgeon can use serial clinical assessment, laboratory and radiological investigations to avoid unnecessary explorations and their complications.The study assumes that conservative management for patients with intrabdominal pellets who are vitally stable with no massive hemoperitonium or pneumoperitoniumon is feasible and safe. This strategy reduces significantly the rate of unnecessary laparotomies and hospital stay