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2013 ; 29
(4
): 153-7
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Conservative management of abdominal injuries
#MMPMID25931868
Oku? A
; Sevinç B
; Ay S
; Arslan K
; Karahan Ö
; Ery?lmaz MA
Ulus Cerrahi Derg
2013[]; 29
(4
): 153-7
PMID25931868
show ga
OBJECTIVE: Non-operative management of abdominal injuries has recently become
more common. Especially non-operative treatment of blunt abdominal trauma is
gaining wide acceptance. In this study, the efficacy of non-operative treatment
in abdominal trauma (blunt penetrating) is discussed. MATERIAL AND METHODS: All
patients who received treatment due to abdominal trauma from November 2008 to
January 2013 were retrospectively analyzed. The demographic characteristics, type
of injury, injured organ, type of treatment (operative vs. nonoperative) and
mortality data were evaluated. RESULTS: The study includes 115 patients treated
for abdominal trauma in our department. The mechanism of trauma was stab wounds
in 60%, blunt abdominal trauma in 23.5% and gunshot wounds in 16.5%. Forty-two
patients (36.5%) were operated for hemodynamic instability and/or peritonitis on
admission. The remaining 63.5% of patients (n=73) were treated nonoperatively, 10
of whom required laparotomy during follow-up. The remaining 63 patients were
treated with non-operative management. The success rate for non-operative
treatment was 86.3% and there was no difference in terms of the types of
injuries. The mortality rate was 4.3% (n= 5) in the whole series, but there were
no deaths among the patients who had received non-operative treatment. In the
whole patient group 54.2% (n=63) were treated nonoperatively. CONCLUSION:
Nonoperative treatment in abdominal trauma is safe and effective. Patients with
clinical stability and normal physical examination findings can be treated
nonoperatively with close monitoring.
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