![]() ![]() During the evolving era of technological imaging for traumatic injuries, we must not allow the nonoperative pendulum to swing too far. At times, they provide immense relief to someone who is really struggling. Delayed diagnosis of intra-abdominal injuries yielded a significantly increased morbidity and mortality. So, yes, I think the pendulum has swung a bit too far there is a place for these medications in acute treatment for those at low risk of addiction, and there are people who benefit from them over the long run. ![]() Intensive care unit length of stay (26 +/- 24 vs 10 +/- 6 days), hospital length of stay (40 +/- 37 vs 11 +/- 10 days), ventilator days (31 +/- 29 vs 11 +/- 10), and number of abdominal operative procedures (1.9 +/- 1.5 vs 1 +/- 0) were significantly higher in the delayed laparotomies group versus the nontherapeutic laparotomies group, respectively. Delayed laparotomies occurred an average of 7 +/- 9 days postinjury. Injury severity scores, Glasgow coma scale scores, abdominal abbreviated injury scale score (AIS), and age were similar for both populations. ![]() Sixteen patients underwent delayed laparotomies, whereas 26 patients incurred nontherapeutic laparotomies. ![]() Demographics, severity of injury, management scheme, and outcome data were analyzed. The records of patients admitted to the trauma service between 20 who underwent laparotomies deemed nontherapeutic or delayed were retrospectively reviewed. We undertook this study to assess the impact of nontherapeutic laparotomies for suspected abdominal injuries compared with delayed laparotomies for questionable abdominal injuries for patients with abdominal trauma. Nonoperative management for traumatic injuries has significantly influenced trauma care during the last decade. ![]()
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