Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.

ABSTRACT:

Background

Although mandatory laparotomy has been standard of care for patients with abdominal gunshot wounds (GSWs) for decades, this approach is associated with non-therapeutic operations, morbidity, and long hospital stays. This systematic review and meta-analysis sought to summarize outcomes of selective nonoperative management (SNOM) of civilian abdominal GSWs.

Methods

We searched electronic databases (March 1966-April 1, 2017) and reference lists of articles included in the systematic review for studies reporting outcomes of SNOM of civilian abdominal GSWs. We meta-analyzed the associated risks of SNOM-related failure (defined as laparotomy during hospital admission), mortality, and morbidity across included studies using DerSimonian and Laird random-effects models. Be

SUBMITTER: Al Rawahi AN 

PROVIDER: S-EPMC6260713 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature