Citation

Hill PF, Edwards DP, Bowyer GW. J. R. Army Med. Corps 2001; 147(1): 41-51.

Affiliation

Royal Defence Medical College, Gosport, Hampshire, PO12 2AB, U.K.

Copyright

(Copyright © 2001, UK Royal Army Medical Corps)

DOI

unavailable

PMID

11307676

Abstract

Military surgical doctrine has traditionally taught that all ballistic wounds should be formally managed by surgical intervention. There is now, however, both experimental and clinical evidence supporting the nonoperative treatment of selected small fragment wounds. Low energy-transfer wounds affecting the soft tissues, without neuro-vascular compromise and with stable fracture patterns, may be suitable for early antibiotic treatment. The management of ballistic wounds to the gastrointestinal tract requires surgical intervention but, advances in the treatment of these wounds, especially those involving the colon, may allow more effective treatment with a reduced morbidity.

Language: en