الفهرس | Only 14 pages are availabe for public view |
Abstract Non operative management of selected abdominal trauma patient is now a fact (Mc Connell and Trunkey 1990). The initial assessment of the injuried patient should take place at the scene of the injury by the ambulance crew, paramedics or physician, the amount of immediate care and assessment will depend on the equipment availabel and the training of the perssonnel responsible for transportation (Rowlands, 1988). The management of splenic trauma has undergone major revision during the past two decades. The concept of splenic salvage for splenic trauma has recently been recommended as pereferable to routine splenectomy because of increased awareness of postsplenectomy immune defeciency (Watanable et al., 1990). Selective non operative management of liver trauma specially in children has become a standard form of therapy in some pediatric trauma centres (Karp et al., 1983). Izant and Drucker (1964) suggested that the majority of infants and children with intramural duodenal haematoma could be successfully treated without surgical intervention. |