OBJECTIVE: Non-operative management of abdominal injuries has recently become more common. Especially non-operative treatment of blunt abdominal trauma is gaining wide acceptance. In this study, the efficacy of non-operative treatment in abdominal trauma (blunt penetrating) is discussed. MATERIAL AND METHODS: All patients who received treatment due to abdominal trauma from November 2008 to January 2013 were retrospectively analyzed. The demographic characteristics, type of injury, injured organ, type of treatment (operative vs. nonoperative) and mortality data were evaluated. RESULTS: The study includes 115 patients treated for abdominal trauma in our department. The mechanism of trauma was stab wounds in 60%, blunt abdominal trauma in 23.5% and gunshot wounds in 16.5%. Forty-two patients (36.5%) were operated for hemodynamic instability and/or peritonitis on admission. The remaining 63.5% of patients (n=73) were treated nonoperatively, 10 of whom required laparotomy during follow-up. The remaining 63 patients were treated with non-operative management. The success rate for non-operative treatment was 86.3% and there was no difference in terms of the types of injuries. The mortality rate was 4.3% (n= 5) in the whole series, but there were no deaths among the patients who had received non-operative treatment. In the whole patient group 54.2% (n=63) were treated nonoperatively. CONCLUSION: Nonoperative treatment in abdominal trauma is safe and effective. Patients with clinical stability and normal physical examination findings can be treated nonoperatively with close monitoring.
OBJECTIVE: Non-operative management of abdominal injuries has recently become more common. Especially non-operative treatment of blunt abdominal trauma is gaining wide acceptance. In this study, the efficacy of non-operative treatment in abdominal trauma (blunt penetrating) is discussed. MATERIAL AND METHODS: All patients who received treatment due to abdominal trauma from November 2008 to January 2013 were retrospectively analyzed. The demographic characteristics, type of injury, injured organ, type of treatment (operative vs. nonoperative) and mortality data were evaluated. RESULTS: The study includes 115 patients treated for abdominal trauma in our department. The mechanism of trauma was stab wounds in 60%, blunt abdominal trauma in 23.5% and gunshot wounds in 16.5%. Forty-two patients (36.5%) were operated for hemodynamic instability and/or peritonitis on admission. The remaining 63.5% of patients (n=73) were treated nonoperatively, 10 of whom required laparotomy during follow-up. The remaining 63 patients were treated with non-operative management. The success rate for non-operative treatment was 86.3% and there was no difference in terms of the types of injuries. The mortality rate was 4.3% (n= 5) in the whole series, but there were no deaths among the patients who had received non-operative treatment. In the whole patient group 54.2% (n=63) were treated nonoperatively. CONCLUSION: Nonoperative treatment in abdominal trauma is safe and effective. Patients with clinical stability and normal physical examination findings can be treated nonoperatively with close monitoring.
Authors: G C Velmahos; D Demetriades; K G Toutouzas; G Sarkisyan; L S Chan; R Ishak; K Alo; P Vassiliu; J A Murray; A Salim; J Asensio; H Belzberg; N Katkhouda; T V Berne Journal: Ann Surg Date: 2001-09 Impact factor: 12.969
Authors: S N Zafar; S Nabeel Zafar; A Rushing; E R Haut; M T Kisat; C V Villegas; A Chi; K Stevens; D T Efron; H Zafar; A H Haider Journal: Br J Surg Date: 2012-01 Impact factor: 6.939
Authors: Gwendolyn M van der Wilden; George C Velmahos; Timothy Emhoff; Samielle Brancato; Charles Adams; Georgios Georgakis; Lenworth Jacobs; Ronald Gross; Suresh Agarwal; Peter Burke; Adrian A Maung; Dirk C Johnson; Robert Winchell; Jonathan Gates; Walter Cholewczynski; Michael Rosenblatt; Yuchiao Chang Journal: Arch Surg Date: 2012-05
Authors: Hady R Hady; Magdalena Łuba; Piotr Myśliwiec; Lech Trochimowicz; Jerzy Łukaszewicz; Joannna Zurawska; Jerzy Robert Ładny; Jacek Dadan Journal: Adv Clin Exp Med Date: 2012 Mar-Apr Impact factor: 1.727