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Background: Trauma is the commonest cause of death in age group between 1 and 44 years and comes in the third place regardless to the age, early detection of intra-abdominal injuries is crucial and improper management will lead to significant morbidity or even mortality. Conservative treatment is the first choice for blunt abdominal traumas as 80% of liver injuries, more than 50% of splenic injuries and virtually almost all renal injuries are managed non-operatively. Our objective from this study was to evaluate the effectiveness of conservative management of injuries due to blunt abdominal trauma.
Patients and methods: This was a prospective study including 100 patients who were admitted to the emergency departments in three institutes between October 2011 and October 2014 with blunt abdominal trauma. We included patients with blunt abdominal trauma who were haemodynamically stable at the time of presentation or became haemodynamically stable after proper resuscitation.
Results: Mean age of patients was 28.9 years and a road traffic accident was the cause in 69% of patients. The overall success rate in the study was 94% which included liver injuries with a success rate of 100% and splenic injuries with a success rate of 92.4%.
Conclusion: Non operative management showed good success rates for stable patients with blunt abdominal trauma affecting solid organs.
DOI
10.21608/asjs.2017.178114
Keywords
Trauma, conservative management, abdominal injuries
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Department of General Surgery, Ain Shams University
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Department of General Surgery, Helwan University
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Department of General Surgery, Kafr El Shikh General Hospital, Ministry of Health
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https://asjs.journals.ekb.eg/article_178114.html
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https://asjs.journals.ekb.eg/service?article_code=178114
Publication Title
Ain Shams Journal of Surgery
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https://asjs.journals.ekb.eg/
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