Non-operative management of blunt trauma in abdominal solid organ injuries: A prospective study to evaluate the success rate and predictive factors of failure

Minerva Chirurgica

Volumn 65, Issue 3, 2010, Pages 267-274

  Hashemzadeh, S H ^a   Hashemzadeh, K H ^b   Dehdilani, M ^a   Rezaei, S ^a  

^a TABRIZ UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^b TABRIZ UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

Kidney; Liver; Non penetrating; Operative; Spleen; Surgical procedures; Wounds; Wounds and injuries

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BLUNT TRAUMA; CHILD; FEMALE; HUMAN; INFANT; INJURY; KIDNEY; LIVER; MALE; MIDDLE AGED; PRESCHOOL CHILD; PROSPECTIVE STUDY; REMISSION; SPLEEN; TREATMENT FAILURE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; KIDNEY; LIVER; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; REMISSION INDUCTION; SPLEEN; TREATMENT FAILURE; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 78649279859     PISSN: 00264733     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (31)

1. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349: 1498-504.
2. Schroeppel TJ, Croce MA. Diagnosis and management of blunt abdominal solid organ injury. Curr Opin Crit Care 2007; 13: 399-404.
3. Pachter H, Guth A, Hofstetter S, Spencer F. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Ann Surg 1998; 227: 708-17.
4. Velmahos GC, Chan LS, Kamel E, Murray JA, Yassa N, Kahaku D et al. Nonoperative management of splenic injuries: have we gone too far? Arch Surg 2000; 135: 674-79.
5. Peitzman AB, Heil B, Rivera L, Federle MB, Harbrecht BG, Clancy KD et al. Blunt splenic injury in adults: multi-institutional Study of the Eastern Association for the Surgery of Trauma. J Trauma 2000; 49: 177-87.
6. Brasel K, DeLisle C, Olson C, Borgstrom D. Splenic injury: trends in evaluation and management. J Trauma 1998; 44: 283-86.
7. Budinger JM. A patient education tool for nonopertive management of blunt abdominal trauma. J Trauma Nurs 2007; 14: 19-23.
8. Sclafani S, Weisberg A, Scalea T, Phillips T, Duncan A. Blunt splenic injuries: nonsurgical treatment with CT, arteriography, and transcatheter arterial embolization of the splenic artery. Radiology 1991; 181: 189-96.
9. Hagiwara A, Yukioka T, Ohta S, Nitatori T, Matsuda H, Shimazaki S. Nonsurgical management of patients with blunt splenic injury: efficacy of transcatheter arterial embolization. AJR 1996; 167: 159-66.
10. McGahan J, Wang L, Richards J. From the RSNA refresher courses: focused abdominal US for trauma. RadioGraphics 2001; 21: S191-S9.
11. Salomone JA. Blunt abdominal trauma. eMedicine. [Accessed 2005 October 18; cited 2010 June 1]. Available at: http://www.emedicine.com/EMERG/topic1.htm.
12. Malhotra AK, Fabian TC, Croce MA, Gavin TJ, Kudsk KA, Minard G et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg 2000; 231: 804-13.
13. Bee TK, Croce MA, Miller PR, Pritchard FE, Davis KA, Fabian TC. Failures of splenic nonoperative management: is the glass half empty of half full? J Trauma 2001; 50: 230-6T
14. Croce MA, Fabian TC, Menke PG, Waddle-Smith L, Minard G, Kudsk KA et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients: results of a prospective trial. Ann Surg 1995; 221: 744-53.
15. Malhorta AK, Latifi R, Fabian TC, Ivatury RR, Dhage S, Bee TK et al. Multiplicity of solid organ injury: Influence on management and outcomes after blunt abdominal trauma. J Trauma 2003; 54: 925-9.
16. Myers JG, Dent DL, Stewart RM, Gray GA, Smith DS, RhodesJE et al. Blunt splenic injuries: dedicated trauma surgeons can achieve a high rate of non-operative success in patients of all ages. J Trauma 2000; 48: 801-6.
17. Nix J, Costanza M, Daley B, Powell M, Enderson B. Outcome of the current management of splenic injuries. J Trauma 2001; 50: 835-42.
18. Becker C, Spring P, Glattli A, Schweizer W. Blunt splenic trauma in adults: can CT findings be used to determine the need for surgery? AJR 1994; 162: 343-7.
19. McIntyre LK, Schiff M, Jurkovich GJ. Failure of nonoperative management of splenic injuries. Causes and consequences. Arch Surg 2005; 140: 563-9.
20. Velmahos GC, Toutouzas KG, Radin R, Chan L, Demetriades D. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg 2003; 138: 475-81.
21. Cox JC, Fabian TC, Maish GO 3rd, Bee TK, Pritchard FE, Russ SE et al. Routine follow-up imaging is unnecessary in the management of blunt hepatic injury. J Trauma 2005; 59: 1175-80.
22. Matsuura T, Nose K, Tahara H, Hara Y, Amasaki N, Nishioka T et al. Evaluation of the management of blunt renal trauma and indication for surgery. Nippon Hinyokika Gakkai Zasshi 2002; 93: 511-8.
23. Matthews LA, Smith EM, Spirnak JP. Nonoperative treatment of major blunt renal lacerations with urinary extravasation. J Urol 1997; 157: 2056-8.
24. Knudson MM, Maull KI. Nonoperative management of solid organ injuries: past, present, and future. Surg Clin North Am 1999; 79: 1357-67.
25. Toutouzas KG, Karaiskakis M, Kaminski A, Velmahos GC. Nonoperative management of blunt renal trauma: a prospective study. Am Surg 2002; 68: 1097-103.
26. Margenthaler JA, Weber TR, Keller MS. Blunt renal trauma in children: experience with conservative management at a pediatric trauma center. J Trauma 2002; 52: 928-32.
27. Nance ML, Lutz N, Carr MC, Canning DA, Stafford PW. Blunt renal injuries in children can be managed nonoperatively: outcome in a consecutive series of patients. J Trauma 2004; 57: 474-8.
28. Herschorn S, Radomski SB, Shoskes DA, Mahoney J, Hirshberg E, Klotz L. Evaluation and treatment of blunt renal trauma. J Urol 1991; 146: 274-6.
29. Mirvis SE, Whitley NO, Vainwright JR, Gens DR. Blunt hepatic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology 1989; 171: 27-32.
30. Brick SH, Taylor GA, Potter BM, Eichelberger MR. Hepatic and splenic injury in children: role of CT in the decision for laparotomy. Radiology 1987; 165: 643-6.
31. Cocanour CS, Moore FA, Ware DN, Marvin RG, Duke JH. Age should not be a consideration for nonoperative management of blunt splenic injury. J Trauma 2000; 48: 606-12.