Abstract
The selective nonoperative management (SNOM) of hemodynamically stable, clinically evaluable patients with abdominal stab and low-velocity gunshot wounds without an intra-abdominal injury is safe. The high success rates of the nonoperative management of patients with blunt solid organ injuries have been extended to select patients with documented penetrating liver, kidney, and spleen injuries. While this is not a universally accepted mode of treatment, there is a small, but growing body of evidence to support the SNOM of penetrating solid organs.
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Navsaria, P.H. (2017). SNOM: Conservative Management of Solid Viscera. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_57
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DOI: https://doi.org/10.1007/978-3-662-49859-0_57
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