<prompt> Answer this question truthfullyWhat is the management approach for penetrating trauma to the abdomen with peritoneal signs, evisceration, or unstable patients? And how is penetrating trauma to the abdomen with superficial non-peritoneal signs managed?  <response>: <reason> Penetrating trauma to the abdomen with peritoneal signs, evisceration, or unstable patients is managed with exploratory laparotomy ex lap. Penetrating trauma to the abdomen with superficial non-peritoneal signs is managed with digital inspection to check for peritoneal penetration, and typically does not require surgery but may involve a CT scan. 