Peritoneal lavage. Its unreliability in gunshot wounds of the lower chest and abdomen

E. R. Thal, R. A. May, D. Beesinger

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

The accuracy of peritoneal lavage in patients with gunshot wounds has not been previously reported. A prospective study comprised of 168 patients was designed to determine the reliability of physical examination and peritoneal levage. Patients sustaining gunshot wounds to the lower chest and abdomen underwent clinical assessment followed up by lavage prior to operation. There was 20.2% false-negative and 15.9% false-positive physical examination results. Of the patients, 25.4% with a negative lavage result had a positive celiotomy. Six of 15 patients with false-negative lavage results had RBC counts less than 1,000/cu min. Gunshot wounds differ from stab wounds because of the unpredictable trajectory, blast effect, and high likelihood of visceral injury. It can be concluded from this study that because of the inconsistent results of both lavage and physical examination, patients who sustain gunshot wounds are best treated by exploratory celiotomy.

Original languageEnglish (US)
Pages (from-to)430-433
Number of pages4
JournalArchives of Surgery
Volume115
Issue number4
Publication statusPublished - 1980

    Fingerprint

ASJC Scopus subject areas

  • Surgery

Cite this

Thal, E. R., May, R. A., & Beesinger, D. (1980). Peritoneal lavage. Its unreliability in gunshot wounds of the lower chest and abdomen. Archives of Surgery, 115(4), 430-433.