Nonoperative Management of Solid Abdominal Visceral Injury: Part II. Liver and Kidney

1996 ◽  
Vol 11 (6) ◽  
pp. 302-312
Author(s):  
M. Margaret Knudson ◽  
Kenneth Bermudez
Keyword(s):  
Surgical Intervention ◽  
Nonoperative Management ◽  
Liver Trauma ◽  
Visceral Injury ◽  
Liver And Kidney ◽  
Urinary Extravasation ◽  
Blunt Liver Trauma ◽  
Selection Of Patients ◽  
Injured Liver ◽  
Selection Of

Only in recent years has it been recognized that the injured liver is not only capable of spontaneous hemostasis, but also that it can heal itself remarkably well without surgical intervention. Currently, the approach to stable patients with blunt liver trauma should be nonoperative, regardless of the age of the patient, the degree of liver injury, or the amount of blood in the peritoneal cavity. However, success with this method of management is highly dependent on selection of patients whose liver has ceased bleeding and who do not have an associated intra-abdominal injury in need of operative repair. Similarly, a nonoperative approach is appropriate in patients with blunt renal trauma if the injury is properly staged and if major urinary extravasation and vascular injuries are not present.

Guided Growth Technique for Correction of Lower Extremity Deformities in Children

2013 ◽  
Vol 20 (4) ◽  
pp. 50-55
Author(s):  
V. M Kenis ◽  
I. Yu Klychkova ◽  
E. V Mel’nichenko ◽  
S. V Ivanov ◽  
A. V Sapogovskiy
Keyword(s):  
Surgical Intervention ◽  
Skeletal Maturity ◽  
Neuromuscular Disorders ◽  
Valgus Knee ◽  
Guided Growth ◽  
Growth Technique ◽  
Systemic Pathology ◽  
Simultaneous Intervention ◽  
Selection Of Patients ◽  
Selection Of

Guided growth technique with temporary epiphysiodesis is used for the correction of lower extremities axial deformities in children before skeletal maturity. From 2009 to 2013 one hundred fifty epiphysiodesis procedures were performed in 93 children aged 3–15 years. Technique was performed both in patients with idiopathic deformities and in patients with severe systemic pathology (skeletal dysplasias, neuromuscular disorders, metabolic nephropathies). Treatment results were assessed at terms from 12 to 48 months after surgical intervention. Good results were achieved in 67 (72%), satisfactory — in 18 (19.3) and poor — in 8 (8.6%) patients. Mean rate of correction made up 0.81±0.17° per 1 month of epiphyseodesis with its maximum in valgus knee and ankle deformities. Advantages of the procedure included low invasiveness and simplicity of performance, low complication rate, possibility of simultaneous intervention on several levels as well as combination with other interventions. Thorough selection of patients, proper intervention technique and regular postoperative followup enable to avoid complications and unsatisfactory results.

scholarly journals Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma

2010 ◽  
Vol 5 (1) ◽  
pp. 26 ◽  
Author(s):  
Ettore Marzano ◽  
Edoardo Rosso ◽  
Elie Oussoultzoglou ◽  
Olivier Collange ◽  
Philippe Bachellier ◽  
...  
Keyword(s):  
Nonoperative Management ◽  
Liver Trauma ◽  
Laparoscopic Treatment ◽  
Biliary Peritonitis ◽  
Blunt Liver Trauma

Nonsurgical Management of Small and Intracanalicular Acoustic Tumors

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 801-803 ◽  
Author(s):  
Craig W. Clark ◽  
William H. Moretz ◽  
James D. Acker ◽  
Gale L. Gardner ◽  
Frank Eggers ◽  
...  
Keyword(s):  
Small Group ◽  
Management Strategy ◽  
Nonoperative Management ◽  
Surgical Removal ◽  
Nonsurgical Management ◽  
Selection Of Patients ◽  
Selection Of

Abstract Although surgical removal is generally regarded as the management strategy of choice for acoustic tumors, there remains a small group of patients usually with small or intracanalicular tumors in whom nonoperative management may be a desirable alternative to operation. The authors present a series of six such cases and discuss criteria that may aid in the selection of patients suitable for initial nonoperative management.

Blunt liver trauma in children: Nonoperative management

1985 ◽  
Vol 20 (1) ◽  
pp. 14-18 ◽  
Author(s):  
S. Cywes ◽  
H. Rode ◽  
A.J.W. Millar
Keyword(s):  
Nonoperative Management ◽  
Liver Trauma ◽  
Blunt Liver Trauma

scholarly journals Nonoperative management in a patient with moderate blunt liver trauma

2020 ◽  
Vol 85 (4) ◽  
pp. 486-490
Author(s):  
A. Pérez-Alonso ◽  
P. Rodríguez-Martinón ◽  
L. Caballero-Marcos ◽  
P. Petrone
Keyword(s):  
Nonoperative Management ◽  
Liver Trauma ◽  
Blunt Liver Trauma

scholarly journals Problemy lecheniya patsientov s morbidnym ozhireniem

2011 ◽  
Vol 8 (1) ◽  
pp. 57-66 ◽  
Author(s):  
E G Starostina
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Surgical Intervention ◽  
Surgical Interventions ◽  
Patient Dissatisfaction ◽  
Treatment And Prevention ◽  
High Prevalence ◽  
Selection Of Patients ◽  
Selection Of

The article describes evidence-based approaches to treatment of morbid obesity, including surgical interventions designated for bodyweight reduction and provides comparative analysis of efficacy and safety of lifestyle interventions, medical treatment and various types of bariatric surgery. Detailed description of diagnosis, treatment and prevention of post-surgical vitamin and mineral deficiencies is given. Special attention is paid to high prevalence of mental disorders in patients with morbid obesity, their role in its development, their influence on outcomes of surgical intervention and potential patient dissatisfaction with its results. Necessity of thorough selection of patients for bariatric surgery is emphasized, with assessment of their mental state and proper organization of subsequent life-long follow-up after operation

310: Nonoperative Management of Isolated Urinary Extravasation in the Traumatized Kidney

2006 ◽  
Vol 175 (4S) ◽  
pp. 102-103
Author(s):  
Nejd F. Aisikafi ◽  
Sean P. Elliott ◽  
Jack W. McAninch
Keyword(s):  
Nonoperative Management ◽  
Urinary Extravasation
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