Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs

作者: Cornelis H van der Vlies , Dominique C Olthof , Menno Gaakeer , Kees J Ponsen , Otto M van Delden

DOI: 10.1186/1865-1380-4-47

关键词:

摘要: In recent years there has been increasing interest shown in the nonoperative management (NOM) of blunt traumatic injury. The growing use NOM for abdominal organ injury made possible because progress quality and availability multidetector computed tomography (MDCT) scan development minimally invasive intervention options such as angioembolization. purpose this review is to describe changes that have over past decades trauma liver, spleen kidney. changed considerably. Focused assessment with sonography (FAST) examination replaced diagnostic peritoneal lavage modality primary survey. MDCT scanning intravenous contrast now gold standard hemodynamically stable patients intra-abdominal fluid detected FAST. One current discussions literature whether a whole body survey should be implemented imaging techniques contributed being currently treatment choice patients. Angioembolization can used an adjunct increased success rate 95%. However, date many controversies exist about optimum patient selection NOM, proper role angioembolization best technique material angioembolization, right follow-up strategy sustaining Conducting well-designed prospective clinical trial or Delphi study would preferable.

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