Selective nonoperative management of penetrating abdominal solid organ injuries

Objective To assess the feasibility and safety of selective nonoperative management in penetrating abdominal solid organ injuries. Methods Since January 2000 to March 2008, our hospital treated a total of 76 cases of penetrating abdominal solid organ (liver, spleen, kidney) injuries, 31 patients with hemedynamically stable, no peritonitis, in the absence of imaging examination findings suggestive of hollow viscus injury and observation with serial clinical examinations, hemoglobin levels, and white cell counts no significant change were selected fornonoperative management, postoperative recovery status, the incidence of complications and hospitalization time were all observed and recorded. Results In nonoperative management, 31 cases of the patients have two cases changed operation, the remaining 29 patients were cured and discharged without complications, the average stay (17±8)d. Conclusions In the appropriate environ-ment, as long as to master indications strictly, selective nonoperative management of penetrating abdominal solid organ injuriesis is not only feasible, but also has a high success rate and a low complication rate. Key words: Penetrating abdominal injuries;  Nonoperative management