Related Experiment Video
Updated: Jan 12, 2026
06:00
Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
Published on: December 30, 2025
23
Surgical Management of Solid Organ Injuries.
Niels V Johnsen1, Richard D Betzold2, Oscar D Guillamondegui2
1Urological Surgery, Department of Urological Surgery, Vanderbilt University Medical Center, A-1302 Medical Center North, Nashville, TN 37232, USA.
The Surgical Clinics of North America
|September 30, 2017
Summary
Nonoperative management (NOM) is now the standard for most solid organ injuries due to advances in diagnostics and less invasive procedures. However, immediate surgery remains crucial for life-threatening hemorrhage control in trauma patients.
Area of Science:
- Trauma surgery
- Surgical critical care
- Emergency medicine
Background:
- Historically, surgery was the primary treatment for solid organ injuries.
- Recent advancements have shifted the standard of care.
- Improved diagnostic tools and less invasive techniques are key drivers.
Purpose of the Study:
- To review the evolution of treatment strategies for solid organ injuries.
- To highlight the current role of nonoperative management (NOM).
- To emphasize the continued importance of surgical intervention in specific scenarios.
Main Methods:
- Literature review of studies over the past two decades.
- Analysis of trends in diagnostic and therapeutic approaches.
- Evaluation of outcomes for operative versus nonoperative management.
Main Results:
- Nonoperative management (NOM) is now the initial strategy for most solid organ injuries.
- Advances in noninvasive diagnostics have facilitated NOM.
- Less invasive procedures have improved patient outcomes.
Conclusions:
- Nonoperative management is the current standard of care for the majority of solid organ injuries.
- Surgeons must remain vigilant and prepared to operate when necessary.
- Prompt surgical intervention is vital for controlling life-threatening hemorrhage.
Keywords:
AngioembolizationHepatic injuryKidney traumaLiver traumaPancreas traumaRenal injurySpleen traumaMore Related Videos
Related Concept Videos
01:26Kidney Transplant II: Surgical Procedure
293
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
293
01:25Urinary Tract Calculi VI: Surgical Management
344
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
344
01:22Aneurysm IV: Nursing Management
364
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
364
01:26Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
01:21Inflammatory Bowel Disease V: Surgical Management
430
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
430
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
798
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
798