Nonoperative Management of Solid Organ Injury Diminishes Surgical Resident Operative Experience: Is It Time for Simulation Training?

This review aims to examine the challenges facing radiologists interpreting trauma computed tomography (CT) images in this era of a changing approach to management of solid organ trauma. After reviewing the pearls and pitfalls of CT imaging protocols for detection of traumatic solid organ injuries, we describe the key changes in the 2018 American Association for the Surgery of Trauma Organ Injury Scales for liver, spleen, and kidney and their implications for management strategies. We then focus on the important imaging findings in observed in patients who undergo nonoperative management and patients who are imaged post damage control surgery.

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Blunt Solid Organ Injury: Resident Education and Operative Experience on the Decline

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2020.07.633 ◽

2020 ◽

Vol 231 (4) ◽

pp. S307

Author(s):

Mathangi Anusha Chandramouli ◽

Aakanksha Gupta ◽

Philip S. Barie ◽

Robert John Winchell ◽

Mayur Narayan

Keyword(s):

Resident Education ◽

Organ Injury ◽

Solid Organ ◽

Solid Organ Injury ◽

Operative Experience

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Nonoperative Management of Unstable Patients with Solid Organ Injury: An Incompletely Mapped Frontier

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.04.026 ◽

2021 ◽

Vol 32 (8) ◽

pp. 1156-1157

Author(s):

R. Peter Lokken ◽

Miles B. Conrad

Keyword(s):

Nonoperative Management ◽

Organ Injury ◽

Solid Organ ◽

Solid Organ Injury

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The Failure of Nonoperative Management in Pediatric Solid Organ Injury: A Multi-institutional Experience

Journal of Trauma and Acute Care Surgery ◽

10.1097/01.ta.0000197366.38404.79 ◽

2005 ◽

Vol 59 (6) ◽

pp. 1309-1313 ◽

Cited By ~ 80

Author(s):

James H. Holmes ◽

Douglas J. Wiebe ◽

Monica 0 Tataria ◽

Kelly D. Mattix ◽

David P. Mooney ◽

...

Keyword(s):

Nonoperative Management ◽

Organ Injury ◽

Solid Organ ◽

Solid Organ Injury ◽

Institutional Experience

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A statewide, population-based time-series analysis of the increasing frequency of nonoperative management of abdominal solid organ injury

Annals of Emergency Medicine ◽

10.1016/s0196-0644(96)80086-2 ◽

1996 ◽

Vol 27 (2) ◽

pp. 276

Author(s):

Freeman Favors

Keyword(s):

Time Series ◽

Time Series Analysis ◽

Nonoperative Management ◽

Population Based ◽

Organ Injury ◽

Solid Organ ◽

Solid Organ Injury ◽

Series Analysis

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Nonoperative Management of Splenic Trauma: An Update

Digestive Disease Interventions ◽

10.1055/s-0038-1655770 ◽

2018 ◽

Vol 02 (02) ◽

pp. 172-178

Author(s):

John Walker ◽

Aftab Haq ◽

Rajeev Suri

Keyword(s):

Endovascular Therapy ◽

Practice Patterns ◽

Nonoperative Management ◽

Organ Injury ◽

Splenic Trauma ◽

Solid Organ ◽

Trauma Centers ◽

Solid Organ Injury ◽

Endovascular Interventions ◽

Trauma Victims

AbstractSplenic injuries continue to be a common solid organ injury among trauma victims. Practice outcomes continue to improve with centers now routinely incorporating endovascular therapy into nonoperative management protocols. Since such incorporation, endovascular practice patterns continue to evolve as more data regarding outcomes concerning approach, embolic techniques, and time to intervention become available. These data are driving trauma centers to adopt multidisciplinary protocols with standardization of triage to nonoperative management, imaging, and endovascular interventions. This review aims to provide the interventionalist with an overview of existing and upcoming practice patterns.

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