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Chirurgia Bucharest · Jan 2008
Case Reports[Non-surgical management of patients with blunt abdominal injury: the role of angiography].
- Cl Turculeţ, B Popa, Monica Palea, D Venter, T Feodor, and Georgiana Dinescu.
- Spitalul Clinic de Urgenţă Floreasca.
- Chirurgia Bucharest. 2008 Jan 1; 103 (1): 79-85.
ObjectiveWe evaluated the efficacy of nonsurgical management of patients with blunt hepatic or renal injury using detailed angiographic examinations and transcatheter arterial embolization.MethodsThe study comprises 5 patients: 3 patients with blunt hepatic injury and 2 patients with blunt renal injury. All patients had CT evidence of hepatic injury, respectively renal injury. In one case with hepatic injury, emergency laparotomy was performed before angiography because of unstable circulatory status. DSA-angiography identified the site of bleeding in all patients, followed by selective embolization with particles of TachoComb. Nonsurgical treatment of hepatic or renal injury with transcatheter arterial embolization was successful in all patients.ConclusionsOur success rate for nonsurgical management of patients with blunt injury to solid abdominal organs should more extensive evaluation and use of angiography for solid abdominal organs injury and the subsequent management of solid abdominal organs injury without surgery.
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