A patient with abdominal injury presents to the emergency depament with signs of signs of peritonitis and shock. Airway and breathing were secured and IV fluids were staed with 2 large bore cannulas. The next line of management should be: (A) FAST, (B) Exploratory Laparotomy under general anesthesia, (C) Inseion of abdominal drain followed by laparotomy, (D) Laproscopy
Answer is B. .Treatment for abdominal injury includes, Emergency laparotomy. Indications includes * Frank haemoperitoneum * Significant diagnostic peritoneal lavage * Haemodynamically unstable patient * U/S or CT scan shows significant intra-abdominal injuries ref:SRB&;s manual of surgery,ed 3,pg no 124