Management of blunt hepatic trauma

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Nonoperative management of blunt hepatic trauma.

Over the past 15 years, there have been dramatic changes in the management of blunt hepatic trauma, specifically in the imaging techniques, and in the non-operative management. Actually, in more than 80% of blunt hepatic trauma, non operative management is used. In the last 20% the surgical option has to be taken without delay, sometimes in extreme emergency, using the adapted surgical techniqu...

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Non-operative management (NOM) of blunt hepatic trauma: 80 cases.

BACKGROUND Liver is the most frequently injured organ upon abdominal trauma. We present a group of patients with blunt hepatic trauma who were managed without any invasive diagnostic tools and/or surgical intervention. METHODS A total of 80 patients with blunt liver injury who were hospitalized to the general surgery clinic or other clinics due to the concomitant injuries were followed non-op...

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Management of blunt hepatic and splenic trauma in children.

Trauma is a major cause of morbidity and mortality in children. With blunt abdominal trauma, the most commonly injured organs are the liver and the spleen.1 Th e management of blunt hepatic and splenic injuries has evolved over the past three decades from an emergency operation to a nonoperative approach. Th e nonoperative management of splenic injuries in children became acceptable because of ...

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Management of Blunt Trauma to the Spleen (Part 1)

Spleen is the most frequent solid organ to be injured in blunt abdominal trauma. Considering its important role in providing immunity and preventing infection by a variety of mechanisms, every attempt should be made, if possible, to salvage the traumatized spleen at any age particularly in children. After primary resuscitation, mandatory requirements for non-operative management include absence...

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Nonoperative management for patients with grade IV blunt hepatic trauma

INTRODUCTION The treatment of complex liver injuries remains a challenge. Nonoperative treatment for such injuries is increasingly being adopted as the initial management strategy. We reviewed our experience, at a University teaching hospital, in the nonoperative management of grade IV liver injuries with the intent to evaluate failure rates; need for angioembolization and blood transfusions; a...

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ژورنال

عنوان ژورنال: Journal of Visceral Surgery

سال: 2016

ISSN: 1878-7886

DOI: 10.1016/j.jviscsurg.2016.07.005