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Article
January 1950

PENETRATING ABDOMINAL WOUNDSWith Special Reference to Operation in the Presence of Shock

Author Affiliations

Resident Surgeon, Homer G. Phillips Hospital ST. LOUIS
From the Department of Surgery of the Homer G. Phillips Hospital, Dr. Robert Elman, Director.

Arch Surg. 1950;60(1):55-64. doi:10.1001/archsurg.1950.01250010071005

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Abstract

AT THE Homer G. Phillips Hospital, a St. Louis city institution exclusively for the care of sick and injured Negroes, 134 consecutive cases of traumatic wounds of the abdomen were observed between January 1940 and January 1946, inclusive. Almost half of the patients, or 66, were operated on, and a wound was found which had penetrated a viscus. This is exclusive of 1 patient who died within twenty minutes of admission to the hospital and 29 operated on in whom perforation of a viscus was not found. Of the patients whose case was analyzed, 21 were in shock on admission and will be discussed more fully. The majority of the wounds were inflicted by stabbing (99 cases of 134). Since the depth of stab wounds is frequently limited, it is likely that such wounds tend to be less severe than those inflicted by firearms. Wounds from high-powered firearms frequently seen

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