scholarly journals Outcome of selective non-operative management of penetrating abdominal injuries from the North American National Trauma Database

2011 ◽  
Vol 99 (S1) ◽  
pp. 155-164 ◽  
Author(s):  
S. Nabeel Zafar ◽  
A. Rushing ◽  
E. R. Haut ◽  
M. T. Kisat ◽  
C. V. Villegas ◽  
...  
Keyword(s):  
North American ◽  
Operative Management ◽  
Abdominal Injuries ◽  
The North ◽  
National Trauma ◽  
Non Operative Management

scholarly journals Erratum: Outcome of selective non-operative management of penetrating abdominal injuries from the North American National Trauma Database

2012 ◽  
Vol 99 (7) ◽  
pp. 1023-1023
Author(s):  
S. Nabeel Zafar ◽  
A. Rushing ◽  
E. R. Haut ◽  
M. T. Kisat ◽  
C. V. Villegas ◽  
...  
Keyword(s):  
North American ◽  
Operative Management ◽  
Abdominal Injuries ◽  
The North ◽  
National Trauma ◽  
Non Operative Management

scholarly journals P7 A review of the understanding and use of the Regional Liver Trauma Guidelines

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Rohan Thakkar ◽  
Khaled Ammar ◽  
Ellen Meredith ◽  
Michael Jones ◽  
Ellen Meredith ◽  
...  
Keyword(s):  
Regional Distribution ◽  
Bile Leak ◽  
Operative Management ◽  
Liver Trauma ◽  
Trauma Patients ◽  
North East ◽  
The North ◽  
Close Observation ◽  
Patient’S Outcome ◽  
Non Operative Management

Abstract Introduction The liver is the most commonly injured intra-abdominal organ and occurs in 30% of patients undergoing laparotomy for penetrating injuries and in 15–20% of laparotomies for blunt injuries. CT scan is the investigation of choice for accurate diagnosis and categorization of hepatic injury. Management of isolated liver trauma can be by operative or non-operative management, guided mainly by haemodynamic stability of the patient irrespective to category of injury. Close observation of patients undergoing non-operative management is important; they may develop early complications that require operative intervention, including bleeding, bile leak and peritonitis. Methods A questionnaire will be sent to the General Surgery consultants and registrars within the North East of England, a region with eleven hospitals taking General Surgical admissions, two of which are regional trauma centres. This is to assess the understanding of liver trauma classification and management and their familiarity with and adherence to the regional liver trauma guidelines. Following this, the guidelines will be distributed throughout the region with accompanying teaching sessions. A follow up questionnaire will determine the improvement of regional knowledge and use of the guidelines. In parallel, the outcome of liver trauma patients within the region will be sought to look for correlation between the education and the patient’s outcome. Results Regional distribution of the results will demonstrate the change in the education of liver trauma management and the subsequent change in patient’s outcome. Results will be recorded using Excel and analysed using SPSS statistical software.

Delayed Laparotomy After Selective Non-operative Management of Penetrating Abdominal Injuries

2014 ◽  
Vol 39 (2) ◽  
pp. 380-386 ◽  
Author(s):  
Miroslav P. Peev ◽  
Yuchiao Chang ◽  
David R. King ◽  
Daniel D. Yeh ◽  
Haytham Kaafarani ◽  
...  
Keyword(s):  
Operative Management ◽  
Abdominal Injuries ◽  
Non Operative Management

scholarly journals Successful Non-Operative Management of Multi-Trauma Patient Suffering from Multiple Intra-Abdominal Injuries - A Case Report

2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Liagkos Georgios Theodoros ◽  
Chouliaras Christos ◽  
Papadopoulos Aris ◽  
Vagianos Constantine
Keyword(s):  
Case Report ◽  
Trauma Patient ◽  
Operative Management ◽  
Abdominal Injuries ◽  
Non Operative Management

scholarly journals Management of pediatric blunt abdominal trauma: تدبير رضوح البطن الكليلة عند الأطفال

2021 ◽  
Vol 5 (4) ◽  
pp. 27-20
Author(s):  
Wassem Ameer Shater, Mohammad Ali Nasser, Ali Mohammad Allou Wassem Ameer Shater, Mohammad Ali Nasser, Ali Mohammad Allou
Keyword(s):  
Operative Treatment ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Surgical Intervention ◽  
Operative Management ◽  
Pancreatic Injury ◽  
University Hospital ◽  
Hospital Length Of Stay ◽  
Abdominal Injuries ◽  
Non Operative Management

Aim of study: Evaluating a non- operative treatment of pediatric blunt abdominal trauma and avoiding unnecessary surgical intervention in Tishreen University Hospital. Methods: During years (2016- 2020) a retroprospective study was conducted on 62 children who had isolated blunt abdominal trauma or associated with other injuries, most of them were managed by non- operative treatment but some required surgical management. Results: Non- operative management of pediatric blunt abdominal injuries was applied for 59 patients, three patients required a surgical procedure, the spleen was the most organ exposed to injury (40) child, followed by liver (26) child, kidney (4) and (1) pancreatic injury. Non- operative management was successful in most solid organs injuries with grades 1, 2 and 3, but it failed in 5 grade splenic injury. one out of two hollow viscus injuries required surgical intervention. There were no statistical differences between the study groups in age, gender and injury mechanism. Hospital length of stay was significantly longer in patients who underwent a laparotomy (6) days compared to other non- operative patients (3) days, one complication occurred during non- operative management as pseudocyst after pancreatic injury, (4) patient died in the non- operative group due to hemodynamic instability and associated severe cerebral injuries. Conclusion: It is safe to treat most children with blunt abdominal injuries non- operatively if monitoring is adequate with hemodynamic stability.

scholarly journals Blunt Pharyngoesophageal Injuries: Current Management Strategies

2018 ◽  
Vol 107 (4) ◽  
pp. 336-344
Author(s):  
G. Barmparas ◽  
P. H. Navsaria ◽  
D. Serna-Gallegos ◽  
A. J. Nicol ◽  
S. Edu ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Injury Severity ◽  
Clinical Status ◽  
Management Strategies ◽  
Operative Management ◽  
Neck Exploration ◽  
Trauma Patients ◽  
National Trauma ◽  
Injury Burden ◽  
Non Operative Management

Background: Blunt pharyngoesophageal injuries pose a management challenge to the trauma surgeon. The purpose of this study was to explore whether these injuries can be managed expectantly without neck exploration. Methods: The National Trauma Databank datasets 2007–2011 were reviewed for blunt trauma patients who sustained a pharyngeal injury, including an injury to the cervical esophagus. Patients who survived over 24 h and were not transferred from other institutions were divided into two groups based on whether a neck exploration was performed. Outcomes included mortality and hospital stay. Results: A total of 545 (0.02%) patients were identified. The median age was 18 years and 69% were male. Facial fractures were found in 16%, while 13% had an associated traumatic brain injury. Of the 284 patients who survived over 24 h and were not transferred from another institution, 65 (23%) underwent a neck exploration. The injury burden was significantly higher in this group as indicated by the higher median Injury Severity Score (17 vs 10, p < 0.01) and need for intensive care unit admission (75% vs 31%, p < 0.01). The overall mortality was 2%: 3.1% for neck explorations versus 1.6% for conservative management (adjusted p = 0.54). Neck exploration patients were more likely to remain longer in the hospital (median 13 vs 10 days, adjusted p = 0.03). Conclusion: Pharyngoesophageal injuries are rare following blunt trauma. Only a quarter require a neck exploration and this decision appears to be dictated by the injury burden. Selective non-operative management based on clinical status seems to be feasible and is not associated with increased mortality.

The outcome of non-operative management blunt abdominal injuries: a systematic review

2021 ◽  
pp. 962-967
Author(s):  
Maram Alharbi ◽  
Saud Almuqbil ◽  
Ziyad Aloraini ◽  
Sulaiman Almutairi ◽  
Sultan Alosimi
Keyword(s):  
Systematic Review ◽  
Operative Management ◽  
Abdominal Injuries ◽  
Non Operative Management
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