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Trauma, Vol. 9, No. 1, 47-71 (2007)
DOI: 10.1177/1460408607084151
© 2007 SAGE Publications

The early management of gunshot wounds Part II: the abdomen, extremities and special situations

C. Whitfield

General Surgery, Northern General Hospital, Sheffield S5

J.P. Garner

General Surgery, Castle Hill Hospital, Castle Road, Cottingham, Hull, jeffgarner{at}doctors.org.uk

The management of gunshot wounds of the abdomen and extremities is evolving with centres who treat large volumes of such injuries tending to the application of a policy of selective non-operative management. This article discusses the management of gunshot wounds to the abdomen and extremities and reviews the evidence supporting these changing practices. Special situations such as wounding by shotguns or air rifles are also examined as are the special considerations needed when dealing with the gunshot injured pregnant women or in a child.

Key Words: gunshot wound • abdomen • extremity injury • pregnancy • paediatric trauma • nonoperative management


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