Non-surgical follow-up success in blunt abdominal trauma. Can we protect patients with blunt abdominal trauma from surgery?

Abstract
 Backgrounds
 Abdominal traumas have an important place in the emergency room. The two organs that are most injured blunt abdominal trauma liver and spleen. Historically, surgical intervention was adopted as a treatment method for spleen traumas. However, with development of imaging methods, possibility non-surgical follow-up obtained. In this study, advantages disadvantages conservative were investigated.
 Methods
 patients complaints trauma, who admitted to third step research center service during 27-month period referred general surgery, retrospectively examined. demographic data patients, degree organs, methods hospitalization duration obtained by file screening. frequency, minimum, maximum, average, standard deviation parametric data. A total 91 included study. 
 Results
 Of 58,2% (n = 53) monitored conservatively, 34,1% 31) had splenectomy 4,4% 4) underwent primary repair due isolated injury, both performed 3.3% 3) because multiple solid organ injury. We observed injuries changed between grade I III. All IV-V splenectomy. decrease hematocrit their whose did not rise despite erythrocyte replacement, operated.
 Conclusions
 Medical monitoring protects from complications brought surgery but poses risk delayed rupture follow up required undergo surgery. success rate laceration reported before 60-70% follow-up. it is cleared should be given chance followed without