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Báo cáo y học: " Non-operative management of blunt abdominal trauma. Is it safe and feasible in a district general hospital?"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Non-operative management of blunt abdominal trauma. Is it safe and feasible in a district general hospital? | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Original research Non-operative management of blunt abdominal trauma. Is it safe and feasible in a district general hospital George A Giannopoulos t Iraklis E Katsoulist Nikolaos ETzanakis Panayotis A Patsaouras and Michalis K Digalakis Address 1st Surgical Department Asklepieion Voulas General Hospital 1 Vasileos Pavlou str 166 73 Athens Greece Email George A Giannopoulos - geogianno@hotmail.com Iraklis E Katsoulis - hrkats@yahoo.co.uk Nikolaos E Tzanakis - tzanakis@med.uoa.gr Panayotis A Patsaouras - patsaourasp@yahoo.com Michalis K Digalakis - cdigalaki@yahoo.gr Corresponding author tEqual contributors Published 13 May 2009 Received 17 February 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 22 doi l0.ll86 l757-724l -17-22 Accepted I3 May 2009 This article is available from http www.sjtrem.cOm content l7 l 22 2009 Giannopoulos et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background To evaluate the feasibility and safety of non-operative management NOM of blunt abdominal trauma in a district general hospital with middle volume trauma case load. Methods Prospective protocol-driven study including 30 consecutive patients who have been treated in our Department during a 30-month-period. Demographic medical and trauma characteristics type of treatment and outcome were examined. Patients were divided in 3 groups those who underwent immediate laparotomy OP group those who had a successful NOM NOM-S group and those with a NOM failure NOM-F group . Results NOM was applied in 73.3 22 patients of all blunt abdominal injuries with a failure rate of l 3.6 3 patients . Injury severity score