Nonoperative treatment of blunt abdominal trauma at the Municipal Hospital Dr. Leonidas Lucero

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Ana C. Cabrera
Nicolás Crego
Maximiliano Garcés
Claudio Ibarola
Pedro Renda

Abstract

Background: there is a growing trend towards non-operative management (NOM) in the blunt abdo- minal trauma (BAT) in hemodynamically stable patients without peritoneal acute abdomen. However, there is still no consensus on: time of onset of diet, ambulation, antithrombotic prophylaxis, follow-up, and resumption of physical activity.
Objective: to describe the management of patients with BAT, admitted to the Department of Surgery of our institution.
Material and methods: we included patients age 15 and older admitted from January 2011 to September 2014, with BAT who underwent NOM. The variables analyzed were collected from an electronic database of prospective signing.
Results: 31 TCA were identified, 15 were operated on at admission and 16 patients underwent NOM. 75% were men; mean age of 29 (range 18-58). In 100% abdominal ultrasound was performed, finding free fluid in 80% and identifying organ damage in 60% of the total. In 11 patients CT scan was performed confirming identified organ injury on ultrasound and diagnosing three not evidenced previously. We included 5 patients with liver trauma, 2 associated renal trauma; 6 splenic trauma; 4 kidney trauma and 1 patient with hemoperitoneum. Thromboprophylaxis was used in 7 patients. NOM was successful in all cases. Three patients presented complications, not associated with trauma. No mortality was recorded.
Conclusions: patients undergoing NOT in our hospital were successfully treated in all cases. There were no complications associated with management of the NOT. No mortality was recorded.

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How to Cite
Cabrera, A. C., Crego, N., Garcés, M., Ibarola, C., & Renda, P. (2021). Nonoperative treatment of blunt abdominal trauma at the Municipal Hospital Dr. Leonidas Lucero. Revista Argentina De Cirugía, 108(4), 182–186. Retrieved from https://revista.aac.org.ar/index.php/RevArgentCirug/article/view/220
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