Year: 2024 | Month: August | Volume: 14 | Issue: 8 | Pages: 134-139
DOI: https://doi.org/10.52403/ijhsr.20240818
Experience of Conservative Management of Abdominal Solid Organ Blunt Trauma
Parilal Barman1, Nilutpal Bhattacharjee2, Prasenjit Baruah3, Arijit Rumu Baruah4
1Department of Surgery, 2Department of Surgery, 3Department of Surgery, 4Department of Surgery,
Jorhat Medical College and Hospital, Jorhat, Assam, India.
Corresponding Author: Arijit Rumu Baruah
ABSTRACT
Abdominal solid organs like liver, spleen and kidneys are one of the most vital organs of the human body. Liver is the second largest organ of human body with about 2 percent of body weight in adults. The spleen is the largest organ of the lymphatic system. Both the kidneys together represent 0.4 percent of the total body weight. They perform many of the vital functions involving excretion and detoxification, coagulation, immune function, absorption and storage of essential minerals and storage and filtration of blood. Injury to the liver, spleen and kidneys are one of the most common solid organ injuries in blunt trauma. The expected line of management includes initial diagnostics and resuscitation in the emergency room (including chest and pelvic X-ray, and bedside ultrasonography) followed by cross-sectional imaging (protocol-based trauma imaging with CT and contrast-enhanced multiphase protocols according to need). Initial resuscitation should be done in parallel with monitoring of vital signs with observation preferably in an ICU or high-dependency ward until definitive imaging and reporting has been completed and a management is planned. Treatment should be planned as per age, presence of co-morbidities, and changes in physiological status of the patient. Non-operative management should be preferred in patients of all ages irrespective of the grade of injury and in the absence of other abdominal injuries requiring interventions provided that the haemodynamic status is stable.
Key words: Abdominal, solid, liver, spleen, kidney, injury, non-operative