الفهرس 
ACKNOWLEDGEMENTOnly 14 pages are availabe for public view
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Abstract
The increasing incidence oT severely injured patients with multiple organ injuries requires rapid and accurate diagnostic techniques. The accurate assessment oT the injuries and the priority oT treatment are Tactors that in” " ~ " ”luence eventual outcome. Experience with diagnastic peritoneal lavage in blunt abdominal trauma has shown that not every haemoperitoneum requires exploration. The incidence oT unnecessary diagnostic laparotomy Tor blunt abdominal trauma is approximately 15 ¬20 ’l. and in one TiTth OT patients with a positive lavage who underwent exploratory laparotomy no injury was discovered and no signiTicant bleeding site was Tound. Even the introduction oT preoperative CT scanning has not eliminated the problem oT unnecessary laparotomy in patients with blunt abdominal trauma leading to extended hospitalization, increased morbidity and higher costs.