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- Title
Conservative management of AAST Grade 4 spleen and AAST Grade 5 livers injury in Blunt trauma abdomen.
- Authors
Gill, Simran Kaur; Sahoo, Kalpit Kumar; Haritash, Shubham; Sagar, Preeti; Singla, Rajveer; Gothwal, Mahipal; Arora, Bhavinder Kumar
- Abstract
Over the years, the management of blunt trauma abdomen (BTA) has changed, especially in children. Operative management has evolved into a non-operative management (NOM) approach, with surgery reserved for those who present in extremis or become hemodynamically unstable despite resuscitation. This NOM approach has been associated with improved survival rates in severe liver injury and severe splenic injury. Patients that fail NOM and require emergency surgery are associated with increased morbidity and mortality. Therefore, management of even the severe American Association for the Surgery of Trauma (AAST) grade injuries of liver and spleen are managed based on the hemodynamics and general condition of the patient.
- Subjects
BLUNT trauma; LIVER injuries; SPLEEN; ABDOMEN; TRAUMA surgery; SURGICAL emergencies
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 4, p1297
- ISSN
0975-3583
- Publication type
Article