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Liver trauma: WSES position paper.

Coccolini F, Montori G, Catena F, Di Saverio S, Biffl W, Moore EE, Peitzman AB, Rizoli S, Tugnoli G, Sartelli M, Manfredi R, Ansaloni L - World J Emerg Surg (2015)

Bottom Line: The liver is the most injured organ in abdominal trauma.Road traffic crashes and antisocial, violent behavior account for the majority of liver injuries.The present position paper represents the position of the World Society of Emergency Surgery (WSES) about the management of liver injuries.

View Article: PubMed Central - PubMed

Affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.

ABSTRACT
The liver is the most injured organ in abdominal trauma. Road traffic crashes and antisocial, violent behavior account for the majority of liver injuries. The present position paper represents the position of the World Society of Emergency Surgery (WSES) about the management of liver injuries.

No MeSH data available.


Related in: MedlinePlus

Hepatic angiography
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Fig2: Hepatic angiography

Mentions: Angioembolization is considered by several studies as an “extension” of resuscitation in patients with ongoing resuscitative needs, but this practice can be applied safely only in selected centers (Fig. 2) [14]. Some papers have reported early angio-embolization can decrease the need for transfusions and surgery [43, 44]. A recent Norwegian prospective trial with historical control, applied NOM to stable patients with blush at the CT-scan or with clinical bleeding without blush with grade 3–5 liver lesions. It demonstrated a decreased number of total laparotomy (24 % vs. 49 %) with a stable NOM failure rate (13 %), decreased transfusions and mortality, and a reduced complications rate (44 % vs. 58 %) [18]. In any case the early use of this procedure may be beneficial [31, 45].Fig. 2


Liver trauma: WSES position paper.

Coccolini F, Montori G, Catena F, Di Saverio S, Biffl W, Moore EE, Peitzman AB, Rizoli S, Tugnoli G, Sartelli M, Manfredi R, Ansaloni L - World J Emerg Surg (2015)

Hepatic angiography
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4548919&req=5

Fig2: Hepatic angiography
Mentions: Angioembolization is considered by several studies as an “extension” of resuscitation in patients with ongoing resuscitative needs, but this practice can be applied safely only in selected centers (Fig. 2) [14]. Some papers have reported early angio-embolization can decrease the need for transfusions and surgery [43, 44]. A recent Norwegian prospective trial with historical control, applied NOM to stable patients with blush at the CT-scan or with clinical bleeding without blush with grade 3–5 liver lesions. It demonstrated a decreased number of total laparotomy (24 % vs. 49 %) with a stable NOM failure rate (13 %), decreased transfusions and mortality, and a reduced complications rate (44 % vs. 58 %) [18]. In any case the early use of this procedure may be beneficial [31, 45].Fig. 2

Bottom Line: The liver is the most injured organ in abdominal trauma.Road traffic crashes and antisocial, violent behavior account for the majority of liver injuries.The present position paper represents the position of the World Society of Emergency Surgery (WSES) about the management of liver injuries.

View Article: PubMed Central - PubMed

Affiliation: General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.

ABSTRACT
The liver is the most injured organ in abdominal trauma. Road traffic crashes and antisocial, violent behavior account for the majority of liver injuries. The present position paper represents the position of the World Society of Emergency Surgery (WSES) about the management of liver injuries.

No MeSH data available.


Related in: MedlinePlus