Home|Journals|Articles by Year|Audio Abstracts

Review Article

IJMDC. 2021; 5(3): 962-967

The outcome of non-operative management blunt abdominal injuries: a systematic review

Maram M. Alharbi, Saud Nasser Almuqbil, Ziyad Abdulrahman Aloraini, Sulaiman Hulayyil Almutairi, Sultan Hammad Alosimi.


Background: Surgical treatment can impose a high risk of morbidity and mortality in patients with blunt abdominal injuries. Hence, non-operative management (NOM) can offer a safer treatment of strategy, which has been examined in children, while data in adults are still controversial. This systematic review explores non-operative treatment outcomes for different blunt abdominal injuries.
Methods: We conducted a search in large databases, including Medline, Ovid, PubMed, and CINAHL for the articles published over the past 10 years between 2010 and 2020. Search terms used were a combination of “non-operative” AND “management” AND “Blunt abdominal injury”. Then we filtered the results to include only original research articles evaluating the effectiveness and safety of NOM of blunt abdominal injuries. Selected trials mentioned the type of abdominal injury and patient population under investigation.
Result: A total of 890 articles were retrieved. Following the exclusion of ineligible articles, 19 articles appeared. A total of eight articles were selected that met our inclusion criteria, covering a total of 13,692 patients with a blunt abdominal injury, of which 127 patients were from the pediatric population. Three of the included studies were prospective observational, while five studies were retrospective.
Conclusion: NOM is a safe and effective treatment for different types of blunt abdominal injuries, especially in hemodynamically stable patients. More studies with a robust design are required.

Key words: Non-operative, management, abdominal, injury, trauma.

Full-text options

Share this Article

Online Article Submission
• ejmanager.com

ejPort - eJManager.com
Refer & Earn
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.