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British Medical Bulletin 55:844-855 (1999)
© 1999 The British Council

research-article

Blunt abdominal injuries

Adam J Brooks and Brian J Rowlands

Section of Surgery, Queen's Medical centre, University Hospital Nottingham, UK

Correspondence to Prof. Brian J Rowlands, Section of Surgery, Queen's Medical Centre, University Hospital, Nottingham NG7 2UH, UK

Abstract

The management of blunt abdominal injury (BAI) has undergone quite significant changes over recent years. The emphasis is now on the recognition and limitation of the underlying metabolic insult associated with severe abdominal injury. The concepts of damage control and non-operative management while seeming diametrically opposed have both found favour in selected patient groups. The interventional radiologist has opened a new dimension in the control of inaccessible bleeding and is able to contribute non-operative approaches. The complimentry use of the methods of investigations available for BAI will also improve the accuracy and specificity of diagnosisallowing more appropriate management. Embracing these new concepts of management by all institutions dealing with trauma victims will hopefully reduce the morbidity and mortality of BAI.


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