Abstract
The management of patients with solid organ injuries has changed since the introduction of technically advanced imaging tools, such as ultrasonography and multiple scan computerized tomography, interventional radiological techniques and modern intensive care units. In spite of this development in the management of these patients, major solid organ traumas can still be challenging. There has been great improvement in the non-operative management (NOM) of intra-abdominal solid organ injury in recent decades. In most cases treatment of injuries has shifted from early surgical treatment to NOM.
Similar content being viewed by others
References
Schwab CW. Selection of nonoperative management candidates. World J Surg 2001;25:1389–92.
Malhotra AK, Fabian TC, Croce MA, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg 2000;231:804–13.
Buyukunal C, Danismend N, Yeker D. Spleen-saving procedures in pediatric splenic trauma. Br J Surg 1987;74:350–2.
Coburn MC, Pfeifer J, DeLuca FG. Nonoperative management of splenic and hepatic trauma in the multiply injured pediatric and adolescent patient. Arch Surg 1995;130:332–8.
Myers GL, Dent DL, Stewart RM, et al. Blunt splenic injuries: dedicated trauma surgeons can achieve a high rate of nonoperative success in patients of all ages. J Trauma 2000;48:801–6.
Holmes JH 4th, Wiebe DJ, Tataria M, et al. The failure of nonoperative management in pediatric solid organ injury: a multiinstitutional experience. J Trauma 2005;59:1309–13.
Velmahos GC, Toutouzas KG, Radin R, et al. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg 2003;138:844–51.
Bee TK, Croce MA, Miller PR, et al. Failures of splenic nonoperative management: is the glass half empty or half full? J Trauma 2001;50:230–6.
Yanar H, Ertekin C, Taviloglu K, et al. Nonoperative treatment of multiple intra-abdominal solid organ injury after blunt abdominal trauma. J Trauma 2008;64:943–8.
Shapiro MB, Nance ML, Schiller HJ, et al. Nonoperative management of solid abdominal organ injuries from blunt trauma: impact of neurologic impairment. Am Surg 2001;67:793–6.
Rodrigues CJ, Sacchetti JC, Rodrigues AJ Jr. Age-related changes in the elastic fiber network of the human splenic capsule. Lymphology 1999;32:64–9.
Knudson MM, Maull KI. Nonoperative management of solid organ injuries: past, present, and future. Surg Clin North Am 1999;79:1357–71.
Ekiz F, Yucel T, Ermergen I, et al. The comparison of the results of the conservative treatment between isolated solid organ injuries and those injuries associated with extraabdominal injuries after blunt abdominal trauma. Ulus Travma Derg 2003;9:23–9.
Rutledge R, Hunt JP, Lentz CW, et al. A statewide, populationbased time-series analysis of the increasing frequency of nonoperative management of abdominal solid organ injury. Ann Surg 1995;222:311–26.
Sartorelli KH, Frumiento C, Rogers FB, et al. Nonoperative management of hepatic, splenic and renal injures in adults with multiple injuries. J Trauma 2000;49:56–66.
Maull KI. Current status of nonoperative management of liver injuries. World J Surg 2001;25:1403–4.
Velmahos GC, Chan LS, Kamel E, et al. Nonoperative management of splenic injuries: have we gone too far? Arch Surg 2000;135:674–9, discussion 679-81.
Malhotra AK, Latifi R, Fabian TC, Ivatury RR, Dhage S, Bee TK, et al. Multiplicity of solid organ injury: influence on management and outcomes after blunt abdominal trauma. J Trauma 2003;54:925–9.
McIntyre LK, Schiff M, Jurkovich GJ. Failure of nonoperative management of splenic injuries: causes and consequences. Arch Surg 2005;140:563–8, discussion 568-9.
Wasvary H, Howells G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15-year experience. Am Surg 1997;63:694–9.
Velmahos GC, Toutouzas K, Radin R, et al. High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ. Arch Surg 2004;139:800–1.
Pachter HL, Guth AA, Hofstetter SR, et al. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Ann Surg 1998;227:708–17, discussion 717-9.
Cirillo RL Jr, Koniaris LG. Detecting blunt pancreatic injuries. J Gastrointest Surg 2002;6:587–98.
Bozymski E, Orlando RC, Holt JWRD. Traumatic disruption of the pancreatic duct demonstrated by endoscopic retrograde pancreatography. J Trauma 1981;21:244–45.
Kim HS, Lee DK, Kim IW, Baik SK, Kwon SO, Park JW, Cho NC, Rhoe BS. The role of endoscopic retrograde pancreatography in the treatment of traumatic pancreatic duct injury. Gastrointest Endosc 2001;54:49–55.
Bradley EL 3rd, Young PR Jr, Chang MC, Allen JE, Baker CC, Meredith W, et al. Diagnosis and initial management of blunt pancreatic trauma: guidelines from a multiinstitutional review. Ann Surg 1998;227:861–9.
Güloǧlu R, Berber E, Günay K, et al. Conservative management of penetrating renal trauma. Eur J Emerg Surg Intensive Care 1997;20:96–101.
DeFade BP, Tierney JP, Stone PA, Truxillo RR. Selective renal artery embolization following blunt renal trauma: case report and current treatment recommendations for renal trauma. WV Med J 2009;105:20–2.
Davis KA, Reed RL 2nd, Santaniello J, et al. Predictors of the need for nephrectomy after renal trauma. J Trauma 2006;60:164–9.
Shariat SF, Roehrborn CG, Karakiewicz PI, et al. Evidence based validation of the predictive value of the American Association for the Surgery of Trauma Kidney Injury Scale. J Trauma 2007;62:933–9.
Hagiwara A, Taruhi T, Murata A, et al. Relationship between pseudoaneurism formation and biloma after successful transarterial embolisation for severe hepatic injury: permanent embolization using stainless steel coils prevents pseudoaneurism formation. J Trauma 2005;59:49–55.
Akpofure PE, McCarthy MC, Woods RJ, et al. Complications arising from splenic embolisation after blunt splenic trauma. Am J Surg 2005;189:335–9.
Millan MAD, Deballon PO. Computed tomography, angiography, and endoscopic retrograde cholangiopancreatography in the nonoperative management of hepatic and splenic trauma. World J Surg 2001;25:1397–402.
Moore EE, Shackford SR, Pachter HL, et al. Organ injury scaling-spleen, liver and kidney. J Trauma 1989;29:1664–66.
Recinos G, Inaba K, Dubose J, et al. Local and systemic hemostatics in trauma: a review. Ulus Travma Acil Cerrahi Derg 2008;14:175–81, Review.
Kurtoǧlu M, Yanar H, Aksoy M. Embolisation rather than surgery in isolated splenic and liver injuries is preferable every time: more vascular and endovascular controversies, In: Greenhalgh RM ed 2006, p: 346–52, BIBA Publishing, UK. (ISBN: 0-9544687-3-2).
Uranues S, Pfeifer J. Nonoperative treatment of blunt splenic injury. World J Surg 2001;25:1405–7.
Haan J, Scott J, Boyd-Kranis RL, et al. Admission angiography for blunt splenic injury: advantages and pitfalls. J Trauma 2001;51:1161–5.
Dent D, Alsabrook G, Erickson BA, Myers J, Wholey M, Stewart R, Root H, Ferral H, Postoak D, Napier D, Pruitt BA Jr. Blunt splenic injuries: high nonoperative management rate can be achieved with selective embolization. J Trauma 2004;56:1063–7.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Taviloglu, K., Yanar, H. Current Trends in the Management of Blunt Solid Organ Injuries. Eur J Trauma Emerg Surg 35, 90–94 (2009). https://doi.org/10.1007/s00068-009-9051-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00068-009-9051-y