Selective non-operative management in abdominal gunshot wounds

Effects of high velocity bullet in Abdominal wall injuries specially the blast effect on intra abdominal organs needs mandatory explorative laparatomy to manage any major and minor injuries. Usually many explorative laparatomies are negative, but it can be reduced by advanced radiologic techniques such as ultrasonography, CT – Scan, MRI preoperatively. In patients with negative physical examination to diagnose any intra abdominal bleeding, or gastrointestinal tract perforations, other techniques are suggestive for selective non-operative management. This is a review article study. We searched all Medline, surgery and trauma text books.we have analyzed the advantages and disadvantages of the selective non-operative managements. Findings and Because of today affinity to conservative and non aggressive management, many surgeons try to manage the abdominal trauma by conservative management. We found satisfied results in our study, we found that if we manage these patients in a trauma center, the selective non operative management for abdominal gunshot wounds would be a safe way, reduces hospital costs, and stops the unnecessary laparatomies. We should be enough careful to approve the selective non-operative management in next clinical trials studies.