THE POSSIBILITY OF CONSERVATIVE MANAGEMENT OF BLUNT AND PENETRATING LIVER TRAUMA OF VARIOUS SEVERITY

Cover Page


Cite item

Full Text

Abstract

Until now, surgery is a standard  treatment strategy in liver trauma. However, continuous evolution and  improvement of imaging  and  interventional techniques open  a wide perspective  for conservative  management of liver trauma  patients. In the recent years, this method is getting  more and   more widely used  and becomes  a component of the standard  care protocols for patients  with liver trauma in tertiary centers. 

About the authors

A. A. Pankratov

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Author for correspondence.
Email: aapankratov@mail.ru
Pankratov Aleksey Aleksandrovich – PhD, Assistant Lecturer, Chair of Faculty Surgery No. 21 Russian Federation

I. E. Khat'kov

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: aapankratov@mail.ru
Khat'kov Igor' Evgen'evich – MD, PhD, Professor, Head of Chair of Faculty Surgery No. 21 Russian Federation

R. E. Izrailov

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: aapankratov@mail.ru
Izrailov Roman Evgen'evich – MD, PhD, Professor, Chair of Faculty Surgery No. 21 Russian Federation

V. I. Kapustin

City Clinical Hospital No. 68 of the Moscow City Health Department

Email: aapankratov@mail.ru
Kapustin Valeriy Ivanovich – PhD, Head of Department of Surgery Russian Federation

D. A. Mamonov

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: aapankratov@mail.ru
Mamonov Dmitriy Aleksandrovich – PhD, Assistant Lecturer, Chair of Faculty Surgery No. 21 Russian Federation

References

  1. MacKenzie EJ, Fowler CJ. Epidemiology. In: Felicjano DV, Mattox KL, Moore EE, editors. Trauma. 9 ed. New York: McGraw-Hill; 2008. p. 25–39.
  2. Todd SR. Critical concepts in abdominal injury. th Crit Care Clin. 2004;20(1):119–34.
  3. World Health Organization. Global Burden of Disease. Available from: http://www.who.int/ healthinfo/global_disease/en.
  4. Алишихов АМ, Богданов ДЮ, Матвеев НЛ. Опыт применения эндовидеохирургических технологий в диагностике и лечении торакоабдоминальной травмы. Эндоскопическая хирургия. 2010;(5):7–14.
  5. Борисов АЕ, Кубачев КГ, Кукушкин АВ, Ризаханов ДМ. Возможности эндовидеохирургии при торакоабдоминальных ранениях. Эндоскопическая хирургия. 2012;(3):15–9.
  6. Хрипун АИ, Алимов АН, Саликов АВ, Прямиков АД, Алимов ВА, Сукиасян АА, Попов ТВ, Урванцева ОМ. Органосохраняющий метод в хирургическом лечении повреждений селезенки. Хирургия. Журнал им. Н.И. Пирого- ва. 2014;(1):34–8.
  7. Cirocchi R, Boselli C, Corsi A, Farinella E, Listorti C, Trastulli S, Renzi C, Desiderio J, Santoro A, Cagini L, Parisi A, Redler A, Noya G, Fingerhut A. Is non-operative management safe and effective for all splenic blunt trauma? A sys- tematic review. Crit Care. 2013;17(5):R185. doi: 10.1186/cc12868.
  8. Beuran M, Gheju I, Venter MD, Marian RC, Smarandache R. Non-operative management of splenic trauma. J Med Life. 2012;5(1): 47–58.
  9. Di Saverio S, Moore EE, Tugnoli G, Naidoo N, Ansaloni L, Bonilauri S, Cucchi M, Catena F. Non operative management of liver and spleen traumatic injuries: a giant with clay feet. World J Emerg Surg. 2012;7(1):3. doi: 10.1186/17497922-7-3.
  10. Afaq A, Harvey C, Aldin Z, Leen E, Cosgrove D. Contrast-enhanced ultrasound in abdominal trauma. Eur J Emerg Med. 2012;19(3):140–5. doi: 10.1097/MEJ.0b013e328348c980.
  11. Clevert DA, Weckbach S, Minaifar N, Clevert DA, Stickel M, Reiser M. Contrast-enhanced ultrasound versus MS-CT in blunt abdominal trauma. Clin Hemorheol Microcirc. 2008;39(1– 4):155–69.
  12. Hessmann MH, Hofmann A, Kreitner KF, Lott C, Rommens PM. The benefit of multislice CT in the emergency room management of polytraumatized patients. Acta Chir Belg. 2006;106(5):500–7.
  13. Kuo WY, Lin HJ, Foo NP, Guo HR, Jen CC, Chen KT. Will computed tomography (CT) miss something? The characteristics and pitfalls of torso CT in evaluating patients with blunt solid organ trauma. Ulus Travma Acil Cerrahi Derg. 2011;17(3):215–9.
  14. Wurmb TE, Frühwald P, Hopfner W, Keil T, Kredel M, Brederlau J, Roewer N, Kuhnigk H. Whole-body multislice computed tomography as the first line diagnostic tool in patients with multiple injuries: the focus on time. J Trauma. 2009;66(3):658–65. doi: 10.1097/TA.0b013e31817de3f4.
  15. Wurmb TE, Quaisser C, Balling H, Kredel M, Muellenbach R, Kenn W, Roewer N, Brederlau J. Whole-body multislice computed tomography (MSCT) improves trauma care in patients requiring surgery after multiple trauma. Emerg Med J. 2011;28(4):300–4. doi: 10.1136/ emj.2009.082164.
  16. Demetriades D, Hadjizacharia P, Constantinou C, Brown C, Inaba K, Rhee P, Salim A. Selective nonoperative management of penetrating abdominal solid organ injuries. Ann Surg. 2006;244(4):620–8.
  17. Franco F, Monaco D, Volpi A, Marcato C, Larini P, Rossi C. The role of arterial embolization in blunt splenic injury. Radiol Med. 2011;116(3):454–65. doi: 10.1007/s11547-011- 0624-y.
  18. Fu CY, Wu SC, Chen RJ, Chen YF, Wang YC, Huang HC, Huang JC, Lu CW, Lin WC. Evaluation of need for operative intervention in blunt splenic injury: intraperitoneal contrast extravasation has an increased probability of requiring operative intervention. World J Surg. 2010;34(11):2745–51. doi: 10.1007/s00268010-0723-x.
  19. Miller PR, Croce MA, Bee TK, Malhotra AK, Fabian TC. Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative management. J Trauma. 2002;53(2):238–42.
  20. Morozumi J, Ohta S, Homma H, Sasaki H, Oda J, Suzuki K, Ohtaka Y, Noda M, Mishima S, Yukioka T. Introduction of mobile angiography into the trauma resuscitation room. J Trauma. 2009;67(2):245–51. doi: 10.1097/ TA.0b013e31819dcb2d.
  21. Smith J, Caldwell E, D'Amours S, Jalaludin B, Sugrue M. Abdominal trauma: a disease in evolution. ANZ J Surg. 2005;75(9):790–4.
  22. Yanar H, Ertekin C, Taviloglu K, Kabay B, Bakkaloglu H, Guloglu R. Nonoperative treatment of multiple intra-abdominal solid organ injury after blunt abdominal trauma. J Trauma. 2008;64(4):943–8. doi: 10.1097/ TA.0b013e3180342023.
  23. Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323–4.
  24. Pereira BM. Non-operative management of hepatic trauma and the interventional radiology: an update review. Indian J Surg. 2013;75(5):339–45. doi: 10.1007/s12262-0120712-4.
  25. Sikhondze WL, Madiba TE, Naidoo NM, Muckart DJ. Predictors of outcome in patients requiring surgery for liver trauma. Injury. 2007;38(1):65–70.
  26. Asensio JA, Petrone P, Garcia-Nunez L, Kimbrell B, Kuncir E. Multidisciplinary approach for the management of complex hepatic injuries AAST-OIS grades IV-V: a prospective study. Scand J Surg. 2007;96(3): 214–20.
  27. Velmahos GC, Toutouzas KG, Radin R, Chan L, Demetriades D. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg. 2003;138(8):844–51.
  28. Gaspar B, Negoi I, Paun S, Hostiuc S, Ganescu R, Beuran M. Selective Nonoperative Management of Abdominal Injuries in Polytrauma Patients: a Protocol only for Experienced Trauma Centers. Maedica (Buchar). 2014;9(2): 168–72.
  29. Navsaria PH, Nicol AJ, Krige JE, Edu S. Selective nonoperative management of liver gunshot injuries. Ann Surg. 2009;249(4):653–6. doi: 10.1097/SLA.0b013e31819ed98d.
  30. van der Wilden GM, Velmahos GC, Emhoff T, Brancato S, Adams C, Georgakis G, Jacobs L, Gross R, Agarwal S, Burke P, Maung AA, Johnson DC, Winchell R, Gates J, Cholewczynski W, Rosenblatt M, Chang Y. Successful nonoperative management of the most severe blunt liver injuries: a multicenter study of the research consortium of new England centers for trauma. Arch Surg. 2012;147(5):423–8. doi: 10.1001/archsurg.2012.147.
  31. Inaba K, Branco BC, Moe D, Barmparas G, Okoye O, Lam L, Talving P, Demetriades D. Prospective evaluation of selective nonoperative management of torso gunshot wounds: when is it safe to discharge? J Trauma Acute Care Surg. 2012;72(4):884–91. doi: 10.1097/ TA.0b013e31824d1068.
  32. Swaid F, Peleg K, Alfici R, Matter I, Olsha O, Ashkenazi I, Givon A; Israel Trauma Group, Kessel B. Concomitant hollow viscus injuries in patients with blunt hepatic and splenic injuries: an analysis of a National Trauma Registry database. Injury. 2014;45(9):1409–12. doi: 10.1016/j.injury.2014.02.027.
  33. Sartorelli KH, Frumiento C, Rogers FB, Osler TM. Nonoperative management of hepatic, splenic, and renal injuries in adults with multiple injuries. J Trauma. 2000;49(1):56–61.
  34. Hsieh TM, Cheng Tsai T, Liang JL, Che Lin C. Non-operative management attempted for selective high grade blunt hepatosplenic trauma is a feasible strategy. World J Emerg Surg. 2014;9(1):51. doi: 10.1186/1749-7922-9-51.
  35. Petrowsky H, Raeder S, Zuercher L, Platz A, Simmen HP, Puhan MA, Keel MJ, Clavien PA. A quarter century experience in liver trauma: a plea for early computed tomography and conservative management for all hemodynamically stable patients. World J Surg. 2012;36(2):247–54. doi: 10.1007/s00268-0111384-0.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2015 Pankratov A.A., Khat'kov I.E., Izrailov R.E., Kapustin V.I., Mamonov D.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies