Non-operative management for abdominal solidorgan injuries: A literature review  

作　　者：Amonpon Kanlerd Karikarn Auksornchart Piyapong Boonyasatid 

机构地区：[1]Unit of Trauma and Surgical Critical Care,Divsion of General Surgery,Department of Surgery Faculy of Medicine,Thammasat Universiy,Pathumthani 12120,Thailand

出　　处：《Chinese Journal of Traumatology》2022年第5期249-256,共8页中华创伤杂志（英文版）

摘　　要：The philosophy of abdominal injury management is currently changing from mandatory exploration to selective non-operative management (NOM). The patient with hemodynamic stability and absence of peritonitis should be managed non-operatively. NOM has an overall success rate of 80%—90%. It also can reduce the rate of non-therapeutic abdominal exploration, preserve organ function, and has been defined as the safest choice in experienced centers. However, NOM carries a risk of missed injury such as hollow organ injury, diaphragm injury, and delayed hemorrhage. Adjunct therapies such as angiography with embolization, endoscopic retrograde cholangiopancreatography with stenting, and percutaneous drainage could increase the chances of successful NOM. This article aims to describe the evolution of NOM and define its place in specific abdominal solid organ injury for the practitioner who faces this problem.

关 键 词：Nonoperative management of abdominal injury Abdominal injury Management of abdominal injury Abdominal solidorgan injury 

分 类 号：R656[医药卫生—外科学]