Document Type
Original Article
Abstract
Background: Blant abdominal trauma is a prominent contributor to both morbidity and mortality across many age cohorts and commonly affects solid abdominal organs, including the liver, spleen, and kidneys. Management was historically operative. However, up to 80% of hemodynamically stable blunt trauma patients can now be managed non-operatively.
Aim and objectives: Assessing the effectiveness of conservative care for blunt abdominal trauma in a subset of patients; identifying those who need surgical consultation and potential surgery; and using the right diagnostic techniques to find out whether a patient has persistent bleeding or other injuries that could result in delayed morbidity and death.
Patients and methods: Twenty individuals suffering from hemodynamically stable blunt abdominal injuries who visited Al-Azhar University Hospitals (Al-Hussein, Sayed Galal) and met the eligibility requirements were included in the study. After obtaining informed consent from patients or their guardians, the patient was assessed and stabilized in the emergency room and then monitored in the inpatient ward to look for clinical improvement. Treating surgeons made management decisions regarding the patient, such as whether to proceed conservatively or surgically.
Results: Ninety percent of patients managed non-operatively, which involved monitoring, serial exams, and angioembolization as needed. The remaining 10% needed surgical intervention due to evidence of splenic injuries requiring surgery. No complications occurred in the conservative group.
Conclusion: This study supports the standardized use of evidence-based conservative management guidelines in suitable blunt abdominal organ injury patients, allowing organ preservation and reduced morbidity versus historic routine surgical management.
Keywords
Conservative Management, non-operative management, Blunt Abdominal Trauma
Subject Area
Emergency and ICU medicine
How to Cite This Article
Mostafa, Magdy Mahmoud; Badawy, Mahmoud Hassib Morsi; and Rslan, Mohammed Ryan Mohammed
(2024)
"Conservative Management of Blunt Abdominal Trauma,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
8, Article 19.
DOI: https://doi.org/10.58675/2682-339X.2595
