Int Surg
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Nonoperative (NON-OP) management has been accepted as the treatment of choice for stable patients sustaining blunt liver injury. The objectives were to evaluate the results and changes in the treatment of grades 3 and 4 liver injuries and to determine the impact of NON-OP management on mortality. This was a retrospective review of all grade 3 and 4 blunt liver injuries treated during a 15-year period. ⋯ The mortality rate in the NON-OP group was 0%. NON-OP was associated with a 23.5% reduction in mortality. Unnecessary OP management of grades 3 and 4 liver injuries should be discouraged.