Isolated XXXX injuries: nonoperative management is feasible?

@entity1 @entity409 @entity1661 @entity3511 @entity2548 @entity99 @entity204 @entity130
OBJECTIVE: to evaluate the safety and effectiveness of non-operative management (NOM) of @entity99 , being the only @entity3511 , from gunshot wounds to the abdomen. METHODS: @entity1 who had @entity409 diagnosed as single @entity3511 caused by PAF in the right thoracoabdominal region, hemodynamically stable were studied. All underwent examination with computed tomography. Were analyzed: age, gender, levels of @entity130 , hemodynamic condition and the abdominal examination on admission, the results of the CT scan, the extra-abdominal lesions found, the serum levels of hemoglobin, clinical course, complications, length of hospital stay, outpatient treatment and @entity204 . RESULTS: during the study period 169 @entity1 , treated non-operatively, presented @entity409 wounds. Of these, only 28 @entity1 (16.6%) had @entity99 as the only @entity3511 and consequently met the inclusion criteria for this study. The average age was 27.7 years and 25 @entity1 (89.2%) were male. The overall average of verified @entity130 scores were: RTS 7.45, ISS 10.9, and TRISS 98.7%. The most frequent injuries were grade II and grade III (85.7%). Complications occurred in only one @entity1 who presented a progressive decline in hemoglobin. He underwent a CT scan which showed @entity409 . An arteriography was performed, which showed a successfully embolized @entity2548 . There were no deaths in the @entity1 sample. The average hospital stay was 5.3 days. CONCLUSION: isolated @entity99 in gunshot @entity1661 is uncommon. However, the NOM protocol for this @entity130 is safe and has low morbidity. This approach should only be followed in institutions with adequate infrastructure, where an experienced and cohesive team is able to follow a specific protocol, with rigorous periodic evaluation of its results.
