Non-Operative Management of Solid Organ Injuries due to Blunt Abdominal Trauma (NOMAT): Seven-year experience in a Teaching District General Hospital. A Prospective Study

Over the past several years, non-operative management has been increasingly recommended for the care of selected blunt abdominal trauma patients with solid organ injuries. This prospective study was designed to assess the outcomes of operative and non-operative treatments for blunt hepatic and splenic injuries. The injuries were graded based on the American Association for the Surgery of Trauma organ injury scale. The patients were assigned into operative and non-operative groups and compared for variables such as length of hospital stay, blood transfusion, age, morbidity and mortality rates. In conclusion, appropriate non-operative management reduces the risks of blood transfusion, length of hospital stay and morbidity of the patients.