Introduction Due to the high rate of operative mortality and morbidity non-operative management of blunt liver and spleen trauma was widely accepted in stable pediatric patients, but the general surgeons were skeptical of adopting it for adults. The current study is an analysis of so far largest sample (1071) of a hemodynamically stable blunt liver, spleen, kidney and pancreatic trauma patients managed non-operatively irrespective of the severity of a single /multiple solid organ injuries or other associated injuries with the high rate of success.
Methods The 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, analyzed to determine the indications, methods, and results of NOM. Hemodynamic stability along with ultrasound, CT scan, and repeated clinical examination were the sheet…
