Figure 4
From: Analytical review of 664 cases of penetrating buttock trauma
Algorithm for management of penetrating trauma to the buttock. FAST - Focused assessment with sonography for trauma. SNOM - Selective non-operative management. SE - Serial examination. ADJ - Adjuncts. Surgery indications: haemoperitoneum, injury of major or junctional vessel (CIV, EIV), perforation of bowel, peritonitis, not-stable bony pelvis, sciatic nerve transsection, necrotic/dirty soft tissue, urethra/ureter transsection, intraperitoneal bladder rupture (consider on individual basis). CIV - common iliac vessel. EIV - external iliac vessel. IIV - internal iliac vessel. ICU - Intensive care unit