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

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

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

ABSTRACT

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.

Keywords:
Non-operative, management, abdominal, injury, trauma.


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


Authors
Maram M Alharbi
General Practitioner in Emergency Medicine Department at Prince Sultan Military Medical City, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Saud Nasser Almuqbil
Medical Intern, Alfarabi College, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Ziyad Abdulrahman Aloraini
Medical intern, Alfarabi College, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Sulaiman Hulayyil Almutairi
Medical intern, Alfarabi College, Intern, Riyadh, SA
PubMed articlesGoogle scholar articles

Sultan Hammad Alosimi
Medical Intern, Shagra University, Riyadh, Saudi Arabia.
PubMed articlesGoogle scholar articles


Correspondence to:
. Maram M Alharbi, General Practitioner in Emergency Medicine Department at Prince Sultan Military Medical City, Riyadh, Saudi Arabia.; M.Alharby92@gmail.com

Publication history
Received 16 Jan 2021
Accepted 28 Jan 2021
Published online 11 Feb 2021
Published in print 04 Mar 2021

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Pubmed Style

Alharbi MM, Almuqbil SN, Aloraini ZA, Almutairi SH, Alosimi SH. The outcome of non-operative management blunt abdominal injuries: a systematic review. IJMDC. 2021; 5(3): 962-967. doi:10.24911/IJMDC.51-1610801731


Web Style

Alharbi MM, Almuqbil SN, Aloraini ZA, Almutairi SH, Alosimi SH. The outcome of non-operative management blunt abdominal injuries: a systematic review. http://www.ijmdc.com/?mno=45380 [Access: April 22, 2021]. doi:10.24911/IJMDC.51-1610801731


AMA (American Medical Association) Style

Alharbi MM, Almuqbil SN, Aloraini ZA, Almutairi SH, Alosimi SH. The outcome of non-operative management blunt abdominal injuries: a systematic review. IJMDC. 2021; 5(3): 962-967. doi:10.24911/IJMDC.51-1610801731


Vancouver/ICMJE Style

Alharbi MM, Almuqbil SN, Aloraini ZA, Almutairi SH, Alosimi SH. The outcome of non-operative management blunt abdominal injuries: a systematic review. IJMDC. (2021), [cited April 22, 2021]; 5(3): 962-967. doi:10.24911/IJMDC.51-1610801731


Harvard Style

Alharbi, M. M., Almuqbil, . S. N., Aloraini, . Z. A., Almutairi, . S. H. & Alosimi, . S. H. (2021) The outcome of non-operative management blunt abdominal injuries: a systematic review. IJMDC, 5 (3), 962-967. doi:10.24911/IJMDC.51-1610801731


Turabian Style

Alharbi, Maram M., Saud Nasser Almuqbil, Ziyad Abdulrahman Aloraini, Sulaiman Hulayyil Almutairi, and Sultan Hammad Alosimi. 2021. The outcome of non-operative management blunt abdominal injuries: a systematic review. International Journal of Medicine in Developing Countries, 5 (3), 962-967. doi:10.24911/IJMDC.51-1610801731


Chicago Style

Alharbi, Maram M., Saud Nasser Almuqbil, Ziyad Abdulrahman Aloraini, Sulaiman Hulayyil Almutairi, and Sultan Hammad Alosimi. "The outcome of non-operative management blunt abdominal injuries: a systematic review." International Journal of Medicine in Developing Countries 5 (2021), 962-967. doi:10.24911/IJMDC.51-1610801731


MLA (The Modern Language Association) Style

Alharbi, Maram M., Saud Nasser Almuqbil, Ziyad Abdulrahman Aloraini, Sulaiman Hulayyil Almutairi, and Sultan Hammad Alosimi. "The outcome of non-operative management blunt abdominal injuries: a systematic review." International Journal of Medicine in Developing Countries 5.3 (2021), 962-967. Print. doi:10.24911/IJMDC.51-1610801731


APA (American Psychological Association) Style

Alharbi, M. M., Almuqbil, . S. N., Aloraini, . Z. A., Almutairi, . S. H. & Alosimi, . S. H. (2021) The outcome of non-operative management blunt abdominal injuries: a systematic review. International Journal of Medicine in Developing Countries, 5 (3), 962-967. doi:10.24911/IJMDC.51-1610801731


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