Non-operative management for abdominal solidorgan injuries: A literature review
The philosophy of abdominal injury management is currently changing from mandatory exploration to selective non-operative management (NOM). The patient with hemodynamic stability and absence of peritonitis should be managed non-operatively. NOM has an overall success rate of 80%–90%. It also can red...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Chinese Journal of Traumatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127521001577 |
| _version_ | 1811281370735968256 |
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| author | Amonpon Kanlerd Karikarn Auksornchart Piyapong Boonyasatid |
| author_facet | Amonpon Kanlerd Karikarn Auksornchart Piyapong Boonyasatid |
| author_sort | Amonpon Kanlerd |
| collection | DOAJ |
| description | The philosophy of abdominal injury management is currently changing from mandatory exploration to selective non-operative management (NOM). The patient with hemodynamic stability and absence of peritonitis should be managed non-operatively. NOM has an overall success rate of 80%–90%. It also can reduce the rate of non-therapeutic abdominal exploration, preserve organ function, and has been defined as the safest choice in experienced centers. However, NOM carries a risk of missed injury such as hollow organ injury, diaphragm injury, and delayed hemorrhage. Adjunct therapies such as angiography with embolization, endoscopic retrograde cholangiopancreatography with stenting, and percutaneous drainage could increase the chances of successful NOM. This article aims to describe the evolution of NOM and define its place in specific abdominal solid organ injury for the practitioner who faces this problem. |
| first_indexed | 2024-04-13T01:32:16Z |
| format | Article |
| id | doaj.art-ad9c5ab8af2142bba77ebe375611e7a1 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-04-13T01:32:16Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-ad9c5ab8af2142bba77ebe375611e7a12022-12-22T03:08:29ZengElsevierChinese Journal of Traumatology1008-12752022-09-01255249256Non-operative management for abdominal solidorgan injuries: A literature reviewAmonpon Kanlerd0Karikarn Auksornchart1Piyapong Boonyasatid2Corresponding author.; Unit of Trauma and Surgical Critical Care, Division of General Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, 12120, ThailandUnit of Trauma and Surgical Critical Care, Division of General Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, 12120, ThailandUnit of Trauma and Surgical Critical Care, Division of General Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, 12120, ThailandThe philosophy of abdominal injury management is currently changing from mandatory exploration to selective non-operative management (NOM). The patient with hemodynamic stability and absence of peritonitis should be managed non-operatively. NOM has an overall success rate of 80%–90%. It also can reduce the rate of non-therapeutic abdominal exploration, preserve organ function, and has been defined as the safest choice in experienced centers. However, NOM carries a risk of missed injury such as hollow organ injury, diaphragm injury, and delayed hemorrhage. Adjunct therapies such as angiography with embolization, endoscopic retrograde cholangiopancreatography with stenting, and percutaneous drainage could increase the chances of successful NOM. This article aims to describe the evolution of NOM and define its place in specific abdominal solid organ injury for the practitioner who faces this problem.http://www.sciencedirect.com/science/article/pii/S1008127521001577Nonoperative management of abdominal injuryAbdominal injuryManagement of abdominal injuryAbdominal solidorgan injury |
| spellingShingle | Amonpon Kanlerd Karikarn Auksornchart Piyapong Boonyasatid Non-operative management for abdominal solidorgan injuries: A literature review Chinese Journal of Traumatology Nonoperative management of abdominal injury Abdominal injury Management of abdominal injury Abdominal solidorgan injury |
| title | Non-operative management for abdominal solidorgan injuries: A literature review |
| title_full | Non-operative management for abdominal solidorgan injuries: A literature review |
| title_fullStr | Non-operative management for abdominal solidorgan injuries: A literature review |
| title_full_unstemmed | Non-operative management for abdominal solidorgan injuries: A literature review |
| title_short | Non-operative management for abdominal solidorgan injuries: A literature review |
| title_sort | non operative management for abdominal solidorgan injuries a literature review |
| topic | Nonoperative management of abdominal injury Abdominal injury Management of abdominal injury Abdominal solidorgan injury |
| url | http://www.sciencedirect.com/science/article/pii/S1008127521001577 |
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