Non Operative Management of Blunt Abdominal Trauma: 1. Liver Injury

Salem Abdullah Asselhab

doi:10.51984/rs83xh07

المؤلفون

Salem Abdullah Asselhab Department of Surgery, Faculty of Medicine, University of Sebha, Sebha, Libya

DOI:

https://doi.org/10.51984/rs83xh07

الكلمات المفتاحية:

Blunt abdominal trauma، Non-operative management، Liver injury

الملخص

During the past 3 decades, non-operative management (NOM) has been demonstrated to be an effective therapeutic option in hemodynamically stable patients. We retrospectively reviewed our experience of the last 7 years in NOM of blunt abdominal trauma. Between January 1998 and July 2005, 123 patients with blunt abdominal trauma and injury to liver, spleen and pancreas were admitted to our hospital. Fifty-eight of them (47.2 %) were submitted to NOM; 5 (8.6 %) sustained both hepatic and splenic injuries. We treated nonoperatively 32 hepatic injuries (62.7 % of the total hepatic injuries) 27 splenic injuries (33.7 % of total splenic injuries) and 3 pancreatic injuries (75 % of the total pancreatic injuries). There were no mortality and no complications. We submitted to angiography and embolization one patient with a grade V hepatic injury, hemodynamically stable, showing a "contrast pooling" at abdominal CT scan; the patient was successfully managed nonoperatively. The overall success rate of NOM was 98.5 %; the only NOM failure was a patient with both splenic and hepatic injury. Success rate for injuries to the liver was 96.9%, spleen was 96.3%, and to the pancreas was 100%. We conclude that hemodynamically stable patients sustaining intra-abdominal injury can be safely managed non-operatively.

التنزيلات

تنزيل البيانات ليس متاحًا بعد.

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