of EBR can fail for various reasons, such as dysfunction of the catheter, concomitant vaginal/rectal injuries or pelvic ring fracture which require internal fixation.[sup.6,8] In addition, blood clot formation might result in urinary catheter occlusion and thus inadequate drainage.
The conservative treatment
comprises hospitalization, intravenous fluids, antibiotics, and a strict watch on vitals and general state of the patients.13
consisting of prolonged bed rest or skeletal traction in an attempt to achieve a concentric reduction cannot be considered a good treatment option for these fractures due to the morbidity of prolonged recumbency and the inadequate reductions achieved with traction.
Among the conservative treatment
, the efficacy of muscle exercises has been confirmed by many authors.8,9 In the recent decade, core stability exercises (CSE) have been performed widely in rehabilitation of low back pain.
For these reasons, conservative treatment
with immobilization in a halo-vest or semirigid collars has traditionally been recommended for type III fractures [1-5].
[sup] However, this does not mean that surgery is definitely better than conservative treatment
; it is still not confirmed whether all adult displaced mid-shaft clavicle fractures should be treated by operative fixation.
The result achieved with in one to two weeks is superior in comparison to conservative treatment
using NSAID's, splints and occupational therapy.
KEY WORDS: Small bowl obstruction, Adhesive obstruction, Conservative treatment
A recent prospective cohort study comparing surgical and conservative treatment
for lumbar disc herniation suggested faster pain relief with surgery, but similar benefit with both treatments in the mid-term and long-term follow up.22 Atlas SJ et al.23 in their long-term lumbar spine study recommended individualized treatment plan required patients with lumbar disc herniation and their physicians to integrate clinical findings with patient preferences based on their symptoms and goals.
This study strongly suggests that cats with cruciate injuries might be best served by conservative treatment
. Conservative therapy may include crate rest, use of a brace, and rehabilitation exercises.
(4) found that surgical procedures give better results than conservative treatment
modalities when the daily chyle flow exceeds 500 mL/day in adults.
Several studies suggest that water-soluble contrast agents may be used for the diagnosis of resolution of obstruction, predicting the need for surgical intervention and simultaneously, can be used for conservative treatment
of ASBO by stimulating the bowel movement due to their hyperosmolar effect and water movement into the small bowel lumen (7-11).