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PUBLISHED: Exploratory Laparotomy in a Hemodynamically Stable Patient for an Abdominal Gunshot Wound

Exploratory Laparotomy in a Hemodynamically Stable Patient for an Abdominal Gunshot Wound
Matthew Daniel1Ashley Suah, MD2Brian Williams, MD2
1Edward Via College of Osteopathic Medicine – Auburn
2UChicago Medicine

Gunshot wounds to the abdomen are one of the most classic trauma cases a surgeon will come across in their career. The high velocity of a bullet can cause massive internal and external trauma to the abdomen. Exploration of the small bowel using laparotomy is often indicated after a penetrating traumatic injury or when peritoneal signs are present.

This video article shows the most common techniques for performing an exploratory laparotomy. In this case, the abdomen was explored and was revealed to show a through-and-through gunshot wound to the jejunum, as well as a partial-thickness tear of the proximal cecum; the abdomen was explored for any smaller bleeds or leaks, and the abdomen was closed.