During the past decade, nonoperative management of liver, spleen and kidneys injuries has revolutioned the therapeutic option. The typical patient who underwent non operative management has to be haemodynamically stable and rapidly stabilized following initial fluid resuscitation. Surgery continues to be considered the gold standard for hemodynamically unstable patients. The object of this study was to describe more than 10 years experience of a single trauma centre on management.
Nonoperative management can be applied only following strict institutional criteria. In our experience the AAST Organ Injury Scale was useless for the therapeutic decision making process. The results suggest that the only criteria of choice for the therapeutic strategy was the hemodynamic stability.