Non-operative management for abdominal solidorgan injuries: A literature review.
10.1016/j.cjtee.2021.09.006
- Author:
Amonpon KANLERD
1
;
Karikarn AUKSORNCHART
2
;
Piyapong BOONYASATID
2
Author Information
1. Unit of Trauma and Surgical Critical Care, Division of General Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, 12120, Thailand. Electronic address: kamonpon@tu.ac.th.
2. Unit of Trauma and Surgical Critical Care, Division of General Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, 12120, Thailand.
- Publication Type:Review
- Keywords:
Abdominal injury;
Abdominal solidorgan injury;
Management of abdominal injury;
Nonoperative management of abdominal injury
- MeSH:
Abdominal Injuries/surgery*;
Angiography;
Humans;
Injury Severity Score;
Laparotomy;
Probability;
Retrospective Studies;
Spleen/injuries*;
Wounds, Nonpenetrating/therapy*
- From:
Chinese Journal of Traumatology
2022;25(5):249-256
- CountryChina
- Language:English
-
Abstract:
The philosophy of abdominal injury management is currently changing from mandatory exploration to selective non-operative management (NOM). The patient with hemodynamic stability and absence of peritonitis should be managed non-operatively. NOM has an overall success rate of 80%-90%. It also can reduce the rate of non-therapeutic abdominal exploration, preserve organ function, and has been defined as the safest choice in experienced centers. However, NOM carries a risk of missed injury such as hollow organ injury, diaphragm injury, and delayed hemorrhage. Adjunct therapies such as angiography with embolization, endoscopic retrograde cholangiopancreatography with stenting, and percutaneous drainage could increase the chances of successful NOM. This article aims to describe the evolution of NOM and define its place in specific abdominal solid organ injury for the practitioner who faces this problem.
