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178114

Evaluating the Conservative Management of Blunt Abdominal Trauma; a Prospective Study

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Last updated: 23 Jan 2023

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Abstract

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

Authors

First Name

Mohamed A

Last Name

Nada

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University

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City

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Orcid

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First Name

Hatem

Last Name

Elgohary

MiddleName

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Affiliation

Department of General Surgery, Helwan University

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First Name

Ramadan A

Last Name

Abou-Ahmed

MiddleName

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Affiliation

Department of General Surgery, Kafr El Shikh General Hospital, Ministry of Health

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Volume

10

Article Issue

1

Related Issue

25661

Issue Date

2017-01-01

Receive Date

2021-06-16

Publish Date

2017-01-01

Page Start

1

Page End

6

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_178114.html

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https://asjs.journals.ekb.eg/service?article_code=178114

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Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023