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Abdominal trauma 

Abdominal trauma
Chapter:
Abdominal trauma
Author(s):

Jason Smith

, Ian Greaves

, and Keith M Porter

DOI:
10.1093/med/9780199543328.003.0012
Page of

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date: 20 September 2019

Abdominal trauma 210

Initial assessment 216

Resuscitation room investigations 218

Investigations outside the resuscitation room 222

The trauma laparotomy and damage control 226

Selective non-operative management 230

Critical decision making in abdominal trauma 232

Further reading 236

The abdominal cavity extends from the inguinal ligaments below, to the costal margins above, with the domes of the diaphragm rising to the level of the 4th or 5th intercostal space in full expiration—the anterior axillary lines represent its lateral extremes. The flanks lie between the anterior and posterior axillary lines on both sides, and the back between the two posterior axillary lines. The abdominal viscera are distributed between the intraperitoneal and retroperitoneal compartments, both of which extend into the pelvis....

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