The clinical value of the number of stab wound points in abdominal stab wound

Objective To study the relationship between the number of stab wound points and abdominal stab wound for purpose in avoiding the omittance of foci of stab wound during abdominal stab celiotomy. Methods In a retrospective analysis of 178 abdominal wall penetrative wound, different numbers of stab wound point of celiac organ were found. The caculating method was as follows: there were two stab wound points in tangential wound, penetrative wound, mesenteric wound and thin penetrated omental wound; there was one stab wound point in terminal wound and thick unpenetrated omental wound. Results Odd number stab wound points were found in 135 cases (75 8%); no stab wounds were 27 (15 2%); even number stab wound points were 16 (9.0%). The major stab wound point was odd number whose percentage was higher than that of no stab wound and even number (P0 01). Re celiotomy revealed that there were 7 missing diagnoses in no wound cases and 6 missing diagnoses in even number cases, so accurate cases of odd number were 148 (83 1%). Conclusion The stab wound points of celiac organ is mostly odd number. If no stab wounds or even number ones are present in abdominal stab celiotomy, a covered stab wound point should be considered. Further detailed exposure is necessary in order to avoid missing stab wound points.