Selective Nonoperative Management of Penetrating Abdominal Solid Organ Injuries

摘要

This is a prospective study of 152 patients with 185 penetrating solid organ injuries. Overall, 41 patients (27.0%), including 18 cases with grade III or V injuries, were successfully managed without a laparotomy and without any abdominal complication. Patients with isolated solid organ injuries treated nonoperatively had a significantly shorter hospital stay than patients treated operatively, even though the former group had more severe injuries. It is concluded that, in the appropriate hospital environment, selective nonoperative management of penetrating abdominal solid organ injuries is safe and has a high success rate.