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Abstract : |
A review of the literature describing the hepatic and splenic blunt trauma, indicates that as many as 67% of exploratory celiotomies, are reports as diagnostic. Avoiding unnecessary surgical procedure offers an attractive choice. Nevertheless, nonsurgical management should not bew considered unless the patient meets the following criteria: 1) hemodynamic stability, with or without minimal fluid resuscitation; 2) no demonstrable peritoneal signs on abdominal examination; and 3) the absence on computer tomography (CT scan) of any intraperitoneal or retroperitoneal injuries that require operative intervention. Although a patient could meet the above criteria, several additional factors can be used as predictors of failure of non surgical treatment. , |
