management

Last reviewed 01/2018

Low velocity abdominal trauma does not necessarily require surgical intervention.

The indications for surgery include:

• shock and haemorrhage
• faecal discharge
• prolapse of abdominal contents through the wound
• signs of peritonitis

High velocity abdominal trauma always required a laparotomy:

• the contents of the abdomen should be closely inspected
• damage should be repaired thoroughly
• skin wounds should be excised; closure should be delayed