Evolution of non-operative management of liver trauma

The management of complex liver injury has changed during the last 30 years. Operative management has evolved into a non-operative management (NOM) approach, with surgery reserved for those who present in extremis or become hemodynamically unstable despite resuscitation. This NOM approach has been a...

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Published in:Trauma surgery & acute care open 2020-11, Vol.5 (1), p.e000551-e000551
Main Authors: Brooks, Adam, Reilly, John-Joe, Hope, Carla, Navarro, Alex, Naess, Paal Aksel, Gaarder, Christine
Format: Article
Language:English
Subjects:
Abdomen
abdominal injuries
Blood transfusions
hemorrhagic
Injuries
Intensive care
Laparotomy
Liver
Medical imaging
Mortality
Pediatrics
Review
shock
Surgery
Trauma
Trauma centers
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cited_by cdi_FETCH-LOGICAL-b569t-a5e3415ddac6cb5f65082136cc0cb74a7b6e728c674d9ba0fdabbfa0661ba2ac3
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container_title Trauma surgery & acute care open
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creator Brooks, Adam
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Hope, Carla
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Gaarder, Christine
description The management of complex liver injury has changed during the last 30 years. Operative management has evolved into a non-operative management (NOM) approach, with surgery reserved for those who present in extremis or become hemodynamically unstable despite resuscitation. This NOM approach has been associated with improved survival rates in severe liver injury and has been the mainstay of treatment for the last 20 years. Patients that fail NOM and require emergency surgery are associated with increased morbidity and mortality. Better patient selection may have an impact not only on the rate of failure of NOM, but the mortality rate associated with it. The aim of this article is to review the evidence that helped shape the evolution of liver injury management during the last 30 years.
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source NORA - Norwegian Open Research Archives; BMJ Journals (Open Access); PubMed Central
subjects Abdomen
abdominal injuries
Blood transfusions
hemorrhagic
Injuries
Intensive care
Laparotomy
Liver
Medical imaging
Mortality
Pediatrics
Review
shock
Surgery
Trauma
Trauma centers
title Evolution of non-operative management of liver trauma
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