NON-OPERATIVE MANAGEMENT OF HEPATIC TRAUMA

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Non-operative management (NOM) of blunt hepatic trauma: 80 cases.

BACKGROUND Liver is the most frequently injured organ upon abdominal trauma. We present a group of patients with blunt hepatic trauma who were managed without any invasive diagnostic tools and/or surgical intervention. METHODS A total of 80 patients with blunt liver injury who were hospitalized to the general surgery clinic or other clinics due to the concomitant injuries were followed non-op...

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Non-operative management of splenic trauma

The risk of overwhelming postsplenectomy infection (OPSI) prompted the evolution toward preservation of the injured spleen. Nonoperative management (NOM) of blunt injury to the spleen in adults has become the standard of care in hemodynamically stable patients. This modality of treatment began in the 1970's in paediatric patients. It is highly successful with overall failures rates from 2% to 3...

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Western Trauma Association/critical decisions in trauma: operative management of adult blunt hepatic trauma.

This is a recommended algorithm of the Western Trauma Association for the operative management of blunt hepatic injuries. Because there are few published prospective randomized trials, the recommendations are based on available published prospective, observational, and retrospective data and expert opinion of Western Trauma Association members. The algorithm (Fig. 1) and accompanying text repre...

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The efficacy of non-operative management in childhood blunt hepatic trauma.

BACKGROUND In this study the results of non-operative management of pediatric hepatic injury after blunt abdominal trauma were evaluated. METHODS Multitrauma patients (n = 498) admitted between 1998 and 2002 were analysed as for mechanism of trauma retrospectively. Liver injuries were classified according to the American Association for the Surgery of Trauma's Organ Injury Scaling System. Liv...

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Case series of non-operative management vs. operative management of splenic injury after blunt trauma.

BACKGROUND The spleen is the most easily injured organ in abdominal trauma. The conservative, operative approach has been challenged by several reports of successful non-operative management aided by the power of modern diagnostic imaging. The aim of our retrospective study was to compare non-operative management with surgery for cases of splenic injury. METHODS We compared seven patients who...

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ژورنال

عنوان ژورنال: Medical Journal Armed Forces India

سال: 1996

ISSN: 0377-1237

DOI: 10.1016/s0377-1237(17)30880-8