Factors for failure of nonoperative management of blunt hepatosplenic trauma in children

Conclusion: High-grade injuries, large hemoperitoneum, and contrast blush on the CT scan increase the risk of failure of NOM in patients with blunt hepatosplenic injuries. Nevertheless, most of these patients can be successfully managed with NOM. However, other than hemodynamic instability, the other factors mentioned above deserve further evaluation to determine their ability to aid in the decision between operative and NOM for blunt hepatosplenic injuries in children.
Source: Annals of Pediatric Surgery - Category: Surgery Tags: Original Articles Source Type: research