25 years ago when we believed in the dictum that any suspicion of an abdominal injury, ultrasound showed fluid or a tear of spleen, Kidney, or liver, open explore and then sleep comfortably, a negative laparotomy was not a taboo and blamed. Today the blunt abdominal trauma involving solid organ injury in hemodynamically stable patients are managed non-operatively.
Non operative management of abdominal trauma – a 10 years The current study is an analysis of so far the largest sample (1071) of hemodynamically stable blunt liver, spleen, kidney, and pancreatic trauma patients managed non operatively irrespective of the severity of a single /multiple solid organ injury or other associated injuries with a high rate of success. Methods Experience of 1071 blunt abdominal trauma patients treated by NOM at a tertiary care National Trauma Centre in Oman (from Jan 2001 to Dec 2011) was reviewed,…