Background: Abdominal trauma in pediatrics is common. Abdomen is the most common site of initially unrecognized fatal injury in traumatized children. Aim of the Work:To analyse the value of conservative treatment versus early operative intervention for solid organs injury in the pediatric age group with blunt abdominal trauma. Patients and Methods:The study was carried out by collecting data from a random group of 140 children whose ages ranged from 6 to 16 years who suffered from abdominal trauma associated with solid organ injury, during the period between January 2017 to December 2020, at Ain Shams University hospital, Ahmed Maher teaching hospital and Nasser Institute. A clinical examination was signed for the patients, vital signs were evaluated, the necessary laboratory investigations were carried out, and FAST was performed on the abdomen in the emergency department. Also CT abdomen and pelvis was done on haemodynamic stable patients or after stabilization. Results:The study showed that periods of hospital stay were significantly higher in the surgical treatment group compared to conservative treatment group. Also blood transfusion, need of ICU hospitalization, need of mechanical ventilation and mortality were significantly higher in the surgical treatment group compared to conservative treatment group. The research showed the success of conservative treatment in the treatment of traumatic abdominal injuries, which resulted in injury to the spleen and liver in children, especially low-grade injuries, and that conservative treatment is safe and less expensive compared to surgical intervention. We also support the expansion of the use of interventional radiology in children, as it greatly reduces the child's exposure to surgical intervention. Conclusion:The present study confirmed the effectiveness of NOM in patients with liver and splenic injuries, suggesting a safe and effective therapeutic approach. According to these findings, the majority of patients can be treated with NOM in a less invasive manner, avoiding unnecessary laparotomies. Hemodynamic stability together with injury grading scale will provide a good plan for management.

evaluated in a retrospective way. Complicated appendicitis was defined as perforation with a purulent peritoneal collection, abscess formation, or generalized peritonitis. The outcomes, including operative time, conversion rate, mean hospital stay,and postoperative complications were chosen to evaluate the procedure. Conclusion:Our study demonstrated that management of complicated appendicitis laparoscopically is feasible, safe and can offer a low incidence of infectious complications, less post-operative pain, and rapid recovery.

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Introduction:Vomiting is a postoperative complication in all bariatric surgical interventions since the focus of the procedure is related to the stomach, research efforts are required to reveal the best management course for this issue. Aim of the work:The primary study objective is to assess the percentage of postoperative vomiting occurrence after laparoscopic bariatric surgeries for two months, its causes with investigations and ways of management. Patients and methods:The current research study is a retrospective clinical research trial that recruited 100 cases. All study subjects have undergone Laparoscopic Bariatric Surgeries over a 6 months period in Ain Shams University Hospitals during the period from December 2017 to June 2018.Results: A large percentage of patients (39%) developed Postoperative Vomiting during the first 48 postoperative hours. While (4%) of cases who continued to suffer from Vomiting during the postoperative 2 months. Conclusions:Postoperative vomiting after Laparoscopic Bariatric Surgeries (LBS) represents a considerable complication which occurs commonly. Vomiting of medical causes responds well to centrally acting antiemetic and to a lesser extent, endoscopic and surgical interventions were required for technical problems.