{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:10:26Z","timestamp":1789737026532,"version":"4.0.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Selective nonoperative management of abdominal stab wound is well established, but its application in the setting of isolated omental evisceration remains controversial. The aim of the study is to establish the role of selective nonoperative management in the setting of isolated omental evisceration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective study was conducted over an 8-year period from January 2010 to December 2017 at a major trauma center in South Africa to determine the outcome of selective nonoperative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 405 consecutive cases were reviewed (91% male, mean age: 27\u2009years), of which 224 (55%) cases required immediate laparotomy. The remaining 181 cases were observed clinically, of which 20 (11%) cases eventually required a delayed laparotomy. The mean time from injury to decision for laparotomy was\u2009&lt;3\u2009h in 92% (224\/244), 3\u20136\u2009h in 6% (14\/244), 6\u201312\u2009h 2% (4\/244), and 12\u201318\u2009h in 1% (2\/244). There was no significant difference between the immediate laparotomy and the delayed laparotomy group in terms of length of stay, morbidity, or mortality. Ninety-eight percent (238\/244) of laparotomies were positive and 96% of the positive laparotomies (229\/238) were considered therapeutic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Selective nonoperative management for abdominal stab wound in the setting of isolated omental evisceration is safe and does not result in increased morbidity or mortality. Clinical assessment remains valid and accurate in determining the need for laparotomy but must be performed by experienced surgeons in a controlled environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496920903982","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T05:06:23Z","timestamp":1582520783000},"page":"214-221","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Selective Nonoperative Management of Abdominal Stab Wounds with Isolated Omental Evisceration is Safe: A South African Experience"],"prefix":"10.1177","volume":"110","author":[{"given":"V. Y.","family":"Kong","sequence":"first","affiliation":[{"name":"Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9296-527X","authenticated-orcid":false,"given":"R. D.","family":"Weale","sequence":"additional","affiliation":[{"name":"Department of Surgery, North West Deanery, Manchester, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. M.","family":"Blodgett","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University College London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Madsen","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. L.","family":"Laing","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8467-1455","authenticated-orcid":false,"given":"D. L.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa"},{"name":"Department of Surgery, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"bibr1-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181cf7d07"},{"key":"bibr2-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90155-3"},{"key":"bibr3-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199910000-00002"},{"issue":"4","key":"bibr4-1457496920903982","first-page":"399","volume":"27","author":"Medina M","year":"1984","journal-title":"Can J Surg"},{"key":"bibr5-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90446-0"},{"key":"bibr6-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000152498.71380.3E"},{"issue":"6","key":"bibr7-1457496920903982","first-page":"399","volume":"79","author":"Casali M","year":"2008","journal-title":"Ann Ital Chir"},{"key":"bibr8-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2007.05.004"},{"key":"bibr9-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000152987.21630.39"},{"key":"bibr10-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1983.01390010043010"},{"key":"bibr11-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1177\/000313481408001016"},{"key":"bibr12-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1016\/j.anchir.2003.10.020"},{"issue":"4","key":"bibr13-1457496920903982","first-page":"239","volume":"41","author":"McFarlane MEC","year":"1996","journal-title":"J R Coll Surg Edinb"},{"issue":"4","key":"bibr14-1457496920903982","first-page":"207","volume":"30","author":"Y\u00fccel M","year":"2014","journal-title":"Ulus Cerrahi Derg"},{"key":"bibr15-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9819-y"},{"key":"bibr16-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(87)90016-7"},{"key":"bibr17-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198702000-00005"},{"key":"bibr18-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-0131-9"},{"key":"bibr19-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2017.0075"},{"key":"bibr20-1457496920903982","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198904000-00017"}],"container-title":["Scandinavian Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1457496920903982","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1457496920903982","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1457496920903982","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:57:53Z","timestamp":1777697873000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1457496920903982"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,24]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/1457496920903982"],"URL":"https:\/\/doi.org\/10.1177\/1457496920903982","relation":{},"ISSN":["1457-4969","1799-7267"],"issn-type":[{"value":"1457-4969","type":"print"},{"value":"1799-7267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,24]]}}}