FACTORS OF FAILURE FOR NONSURGICAL TREATMENT
OF BLUNT LIVER AND SPLENIC TRAUMA
Cr. Lupascu, Gabriela Canschi, C. Lupascu*
First Surgical Clinic, „St.
Spiridon” Hospital Iasi,
Research Center for Laparoscopic and Classic Surgery,
* Institute of Forensic Medicine Iasi
University of Medicine and Pharmacy „Gr.T. Popa” Iasi
Jurnalul de chirurgie 2005; 1 (1):6-8
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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.
KEYWORDS: FACTORS OF FAILURE FOR NONSURGICAL
TREATMENT, BLUNT TRAUMA, LIVER, SPLEEN
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