Outcomes of Non-Operative Management in Blunt Abdominal Trauma: An Observational Study from a Tertiary Care Center
DOI:
https://doi.org/10.56802/y8kxjx79Keywords:
Blunt abdominal trauma, Non-operative management, Solid organ injury, Outcomes, Tertiary careAbstract
Aim:
To evaluate the results of non-operative management (NOM) in a tertiary care centre for patients with blunt abdominal trauma who are haemodynamically stable.
Methodology:
Between January 2020 and December 2024, 120 patients participated in this observational study. Analysis was done on demographic, injury mechanism, imaging, and outcome data. Close observation, serial imaging, and supportive care were all part of NOM; surgery was only performed in the event that NOM failed.
Results:
The mean age of the 120 patients was 32.6 years, with 86 of them being men. The most common injuries were hepatic (32.5%) and splenic (45%). 15% of patients needed surgery, while 85% of patients had success with NOM. The NOM group had a lower mean hospital stay and a 3.3% mortality rate, mostly from high-grade injuries.
Conclusion:
NOM reduces the need for needless surgery in patients with stable blunt abdominal trauma, especially those with low-to-moderate grade solid organ injuries.
