Conservative management of multi-trauma induced peritonitis: Experience, outcomes, and indications

Table 1 Patient demographics and outcomes

Characteristics	OM (n = 138)	CM (n = 46)	P value
Age (yr), mean ± SD	42.38 ± 15.75	40.30 ± 12.63	P = 0.418
Median (range)	38 (16-83)	39.5 (22-67)	P = 0.602
M/F	100/38	16/30	P < 0.001
ISS score ± SD	28.38 ± 8.99	25.39 ± 8.84	P = 0.037
Hemodynamic instability	102	9	P < 0.001
Spleen injury	38	26	P < 0.001
Liver injury	18	8	P = 0.305
Pancreas injury	4	5	P = 0.045
Multiple abdominal solid organ injury	5	4	P = 0.067
Bowel injury	106	3	P < 0.001
ICU admission	138	31	P < 0.001
Mortality	6	0	P = 0.339

OM: Operative management; CM: Conservative management; SD: Standard deviation; M/F: Males/females; ISS: Injury severity score; ICU: Intensive care unit.

Table 2 Causes of peritonitis

Causes		OM (n = 138)	CM (n = 46)
Major abdominal visceral damage	Major solid organ injury	60	0
	Hollow organ perforation	106	0
Bleeding	Minor injury to solid organs	0	43
	Injury to vessels	16	3
Extra-abdominal injuries	Multiple rib fractures	48	19
	Anterior abdominal wall contusion	112	10
	Low back fractures or soft tissue injuries	12	14
	Pelvic fracture, pelvic hematoma, retroperitoneum hematoma	46	6

OM: Operative management; CM: Conservative management.