Trauma Specialists Share Techniques

JAMA. 1966;198(5):42-43. doi:10.1001/jama.1966.03110180022010.
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Investigators Use Contrast Medium To Determine Wound Penetration  Injection of radiopaque material into the area of an abdominal wound to provide roentgenographic evidence of the wound's extent, appears to be a safe and reliable means to determine if the wound penetrates the peritoneum.Investigators at Johns Hopkins University and Hospital have used this technique in more than 100 patients with penetrating injuries of the abdomen."The success with this technique has been quite encouraging and at present it is the best means available to determine whether laparotomy is necessary," said William P. Cornell, MD.Dr. Cornell and his co-workers, Paul A. Ebert, MD; Lazar J. Greenfield, MD; and George D. Zuidema, MD, professor and chairman of the Department of Surgery, acknowledged that many surgeons advocate immediate exploratory laparotomy in all patients with penetrating abdominal wounds.Routine exploratory laparotomy has distinct disadvantages, however, to the patient whose peritoneum was not


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