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The Diagnosis and Management of Pediatric Blunt Abdominal Trauma-A Comprehensive Review

Marko Bašković1,2,3, Dorotea Keretić1, Matej Lacković2

  • 1Department of Pediatric Surgery, Children's Hospital Zagreb, Ulica Vjekoslava Klaića 16, 10000 Zagreb, Croatia.

Diagnostics (Basel, Switzerland)
|October 25, 2024
PubMed

Insights

Pediatric blunt abdominal trauma presents diagnostic challenges. A global trend favors non-operative management for stable children, emphasizing standardized care from pre-hospital to post-hospital stages.

Area of Science:

  • Pediatric Surgery
  • Emergency Medicine
  • Radiology

Background:

  • Blunt abdominal trauma in children poses significant diagnostic and therapeutic challenges.
  • Despite existing guidelines, consensus on optimal management remains elusive.
  • A global shift towards non-operative management for hemodynamically stable pediatric patients is emerging.

Purpose of the Study:

  • To provide a comprehensive review of managing blunt abdominal trauma in children.
  • To systematize knowledge from pre-hospital to post-hospital care.
  • To address the need for standardized methodologies in pediatric trauma care.

Main Methods:

  • Systematic review of current literature and guidelines.
  • Analysis of diagnostic and therapeutic approaches.
  • Consolidation of pre-hospital, in-hospital, and post-hospital care strategies.

Main Results:

  • Non-operative management is increasingly favored for hemodynamically stable children.
  • Low complication rates are associated with non-operative treatment in selected cases.
  • Standardized protocols are crucial for optimizing outcomes.

Conclusions:

  • A standardized approach is essential for effective care of pediatric blunt abdominal trauma.
  • The paradigm is shifting towards less invasive strategies when appropriate.
  • Further research and consensus-building are needed to refine management protocols.

Keywords:
blunt abdominal injuryblunt abdominal traumachildrenhollow viscus injuriesliver injurypancreatic injurypediatric surgeryspleen injuryurinary tract injuries

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