Journal ArticleDOI
Angiographic embolization for liver injuries: low mortality, high morbidity.
Alicia M. Mohr,Robert F. Lavery,Allison Barone,Philip Bahramipour,Louis J. Magnotti,Adena J. Osband,Ziad C. Sifri,David H. Livingston +7 more
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TLDR
The integration of AE as an adjunctive modality for patients with high-grade liver injuries is a safe and effective therapeutic option.Abstract:Â
Objective Angiographic embolization (AE) is a safe and effective method for controlling hemorrhage in both blunt and penetrating liver injuries. Improved survival after hepatic injuries has been documented using a multimodality approach; however, patients still have significant long-term morbidity.read more
Citations
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Journal ArticleDOI
Nonoperative management of blunt hepatic injury: An Eastern Association for the Surgery of Trauma practice management guideline
Nicole A. Stassen,Indermeet S. Bhullar,Julius D. Cheng,Marie Crandall,Randall S. Friese,Oscar D. Guillamondegui,Randeep Jawa,Adrian A. Maung,Thomas Rohs,Ayodele Sangosanya,Kevin M. Schuster,Mark J. Seamon,Kathryn M. Tchorz,Ben L. Zarzuar,Andrew J. Kerwin +14 more
TL;DR: Most original hepatic guidelines remained valid and were incorporated into the greatly expanded current guidelines as appropriate, and nonoperative management of blunt hepatic injuries currently is the treatment modality of choice in hemodynamic stable patients, irrespective of the grade of injury or patient age.
Journal ArticleDOI
Management of liver trauma
TL;DR: This review discusses the mechanisms of liver injury, grading system for severity, available diagnostic modalities and current management options based on a Medline literature search and the authors' clinical experience.
Journal ArticleDOI
CT in blunt liver trauma.
Woong Yoon,Yong Yeon Jeong,Jae Kyu Kim,Jeong Jin Seo,Hyo Soon Lim,Sang Soo Shin,Jung Chul Kim,Seong W. Jeong,Jin Gyoon Park,Heoung Keun Kang +9 more
TL;DR: CT is the diagnostic modality of choice for the evaluation of blunt liver trauma in hemodynamically stable patients and can accurately help identify hepatic parenchymal injuries, help quantify the degree of hemoperitoneum, and reveal associated injuries in other abdominal organs, retroperitoneal structures, and the gastrointestinal tract.
Journal ArticleDOI
Complications of Nonoperative Management of High-Grade Blunt Hepatic Injuries
Rosemary A. Kozar,John B. Moore,Sarah E. Niles,John B. Holcomb,Ernest E. Moore,C. Clay Cothren,Elizabeth Hartwell,Frederick A. Moore +7 more
TL;DR: Nonoperative management of high-grade liver injuries can be safely accomplished, however, complications in grade 4 and 5 injuries should be anticipated and may require a combination of operative and nonoperative management strategies.
References
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Journal ArticleDOI
Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients.
H. Pachter,M. Margaret Knudson,B Esrig,Steven E. Ross,David B. Hoyt,Thomas H. Cogbill,H Sherman,Thomas M. Scalea,Paul B. Harrison,Steven R. Shackford +9 more
TL;DR: Current data would suggest that 50 to 80% of all adult patients with blunt hepatic injuries are candidates for nonoperative management, irrespective of grade of injury or degree of hemoperitoneum, and thus merit constant re-evaluation and close observation in critical care units.
Journal ArticleDOI
Evolution in the management of hepatic trauma: a 25-year perspective.
J. David Richardson,Glen A. Franklin,James K. Lukan,Eddy H. Carrillo,David A. Spain,Frank B. Miller,Mark Wilson,Hiram C. Polk,Lewis M. Flint +8 more
TL;DR: The treatment and outcome of liver injuries have changed dramatically in 25 years and the death rates from both blunt and penetrating trauma have improved significantly through each successive decade of the study.
Journal ArticleDOI
Severe hepatic trauma: a multi-center experience with 1,335 liver injuries.
Thomas H. Cogbill,Ernest E. Moore,Gregory J. Jurkovich,David V. Feliciano,John A. Morris,Peter Mucha +5 more
TL;DR: The experience of six regional trauma centers with severe hepatic trauma was reviewed to identify trends in management, mortality, and postoperative complications.
Journal ArticleDOI
Nonsurgical management of patients with blunt splenic injury: efficacy of transcatheter arterial embolization
TL;DR: Embolization was successful in all 15 patients, and the shock index was significantly reduced after TAE, suggesting TAE is an effective alternative to surgery for patients with high-grade liver injury.
Journal ArticleDOI
Interventional techniques are useful adjuncts in nonoperative management of hepatic injuries.
Eddy H. Carrillo,David A. Spain,Christopher D. Wohltmann,Robert E. Schmieg,Phillip W. Boaz,Frank B. Miller,Richardson Jd +6 more
TL;DR: In hemodynamically stable patients with blunt liver trauma, nonoperative management is the current treatment of choice, and most untoward outcomes can be successfully managed nonoperatively using alternative therapeutic options.