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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2012

Open Access 01-12-2012 | Commentary

Non operative management of liver and spleen traumatic injuries: a giant with clay feet

Authors: Salomone Di Saverio, Ernest E Moore, Gregorio Tugnoli, Noel Naidoo, Luca Ansaloni, Stefano Bonilauri, Michele Cucchi, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2012

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Excerpt

After years of initial aggressive surgical intervention and a subsequent shift to damage control surgery (DCS), non operative management (NOM) has been shown to be safe and effective. …
Literature
1.
Feliciano DV, Mattox KL, Jordan GL: Intra-abdominal packing for control of hepatic hemorrhage: a reappraisal. J Trauma. 1981, 21: 285-290. 10.1097/00005373-198104000-00005.CrossRefPubMed
2.
Pachter HL, Spencer FC, Hofstetter SR, Coppa GF: Experience with the finger fracture technique to achieve intra-hepatic hemostasis in 75 patients with severe injuries of the liver. Ann Surg. 1983, 197 (6): 771-8. 10.1097/00000658-198306000-00017.PubMedCentralCrossRefPubMed
3.
Stone HH, Strom PR, Mullins RJ: Management of the major coagulopathy with onset during laparotomy. Ann Surg. 1983, 197 (5): 532-5. 10.1097/00000658-198305000-00005.PubMedCentralCrossRefPubMed
4.
Lucas CE, Ledgerwood AM: Changing times and the treatment of liver injury. Am Surg. 2000, 66 (4): 337-41.PubMed
5.
Cogbill TH, Moore EE, Jurkovich GJ, et al: Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma. 1989, 29: 1312-1317. 10.1097/00005373-198910000-00002.CrossRefPubMed
6.
Pearl RH, Wesson DE, Spence LJ, Filler RM, Ein SH, Shandling B, Superina RA: Splenic injury: a 5-year update with improved results and changing criteria for conservative management. J Pediatr Surg. 1989, 24 (1): 121-4. 10.1016/S0022-3468(89)80315-X. disc 124-5CrossRefPubMed
7.
Rothenberg S, Moore EE, Marx JA, Moore FA, McCroskey BL: Selective management of blunt abdominal trauma in children--the triage role of peritoneal lavage. J Trauma. 1987, 27 (10): 1101-6. 10.1097/00005373-198710000-00001.CrossRefPubMed
8.
Pachter HL Jr, Knudson MM, Esrig B, et al: Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma. 1996, 40: 31-38. 10.1097/00005373-199601000-00007.CrossRefPubMed
9.
Croce MA, Fabian TC, Menke PG, Waddle-Smith L, Minard G, Kudsk KA, Patton JH, Schurr MJ, Pritchard FE: Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg. 1995, 221 (6): 744-53. 10.1097/00000658-199506000-00013. discussion 753-5PubMedCentralCrossRefPubMed
10.
Knudson MM, Lim RC Jr, Oakes DD, Jeffrey RB: Nonoperative management of blunt liver injuries in adults: the need for continued surveillance. J Trauma. 1990, 30: 1494-1500. 10.1097/00005373-199012000-00009.CrossRefPubMed
11.
Sherman HF, Savage BA, Jones L, et al: Nonoperative management of blunt hepatic injuries: safe at any grade?. J Trauma. 1994, 37: 616-621. 10.1097/00005373-199410000-00015.CrossRefPubMed
12.
Meredith JW, Young JS, Bowling J, Roboussin D, et al: Nonoperative management of blunt hepatic trauma: the exception or the rule?. J Trauma. 1994, 36: 529-534. 10.1097/00005373-199404000-00012. discussion 534-535CrossRefPubMed
13.
Pickhardt B, Moore EE, Moore FA, McCroskey BL, Moore GE: Operative splenic salvage in adults: a decade perspective. J Trauma. 1989, 29: 1386-1391. 10.1097/00005373-198910000-00017.CrossRefPubMed
14.
Millikan JS, Moore EE, Moore GE, Stevens RE: Alternatives to splenectomy in adults after trauma. Repair, partial resection, and reimplantation of splenic tissue. Am J Surg. 1982, 144 (6): 711-6. 10.1016/0002-9610(82)90556-6.CrossRefPubMed
15.
16.
Passlick B, Izbicki J, Waydhas C, Nast-Kolb D, Schweiberer L, Ziegler-Heitbrock H: Posttraumatic splenectomy does not influence human peripheral blood mononuclear cell subsets. J Clin Lab Immunol. 1991, 34 (4): 157-61.PubMed
17.
Shafi S, Parks J, Ahn C, Gentilello LM, Nathens AB: More operations, more deaths? Relationship between operative intervention rates and risk-adjusted mortality at trauma centers. J Trauma. 2010, 69 (1): 70-7. 10.1097/TA.0b013e3181e28168.CrossRefPubMed
18.
Hurtuk M, Reed RL, Esposito TJ, Davis KA, Luchette FA: Trauma surgeons practice what they preach: The NTDB story on solid organ injury management. J Trauma. 2006, 61 (2): 243-54. 10.1097/01.ta.0000231353.06095.8d. discussion 254-5CrossRefPubMed
19.
Trunkey DD: Hepatic trauma: contemporary management. Surg Clin North Am. 2004, 84 (2): 437-50. 10.1016/S0039-6109(03)00228-7.CrossRefPubMed
20.
Kozar RA, Moore JB, Niles SE, et al: Complications of non-operative management of high-grade blunt hepatic injuries. J Trauma. 2005, 59: 1066-1071.CrossRefPubMed
21.
Piper GL, Peitzman AB: Current management of hepatic trauma. Surg Clin North Am. 2010, 90 (4): 775-85. 10.1016/j.suc.2010.04.009.CrossRefPubMed
22.
Polanco P, Leon S, Pineda J, Puyana JC, Ochoa JB, Alarcon L, Harbrecht BG, Geller D, Peitzman AB: Hepatic resection in the management of complex injury to the liver. J Trauma. 2008, 65 (6): 1264-9. 10.1097/TA.0b013e3181904749. discussion 1269-70CrossRefPubMed
23.
Goldman R, Zilkoski M, Mullins R, Mayberry J, Deveney C, Trunkey D: Delayed celiotomy for the treatment of bile leak, compartment syndrome, and other hazards of nonoperative management of blunt liver injury. Am J Surg. 2003, 185 (5): 492-7. 10.1016/S0002-9610(03)00046-1.CrossRefPubMed
24.
Dabbs DN, Stein DM, Scalea TM: Major hepatic necrosis: a common complication after angioembolization for treatment of high-grade liver injuries. J Trauma. 2009, 66 (3): 621-7. 10.1097/TA.0b013e31819919f2. discussion 627-9CrossRefPubMed
25.
Dabbs DN, Stein DM, Philosophe B, Scalea TM: Treatment of major hepatic necrosis: lobectomy versus serial debridement. J Trauma. 2010, 69 (3): 562-7. 10.1097/TA.0b013e3181ebf591.CrossRefPubMed
26.
Malhotra AK, Latifi R, Fabian TC, et al: Multiplicity of solid organ injury: influence on management and outcomes after blunt abdominal trauma. J Trauma. 2003, 54: 925-9. 10.1097/01.TA.0000066182.67385.86.CrossRefPubMed
27.
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. 10.1097/00005373-200208000-00008. discussion 242-4CrossRefPubMed
28.
Tinkoff G, Esposito TJ, Reed J, Kilgo P, Fildes J, Pasquale M, Meredith JW: American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank. J Am Coll Surg. 2008, 207 (5): 646-55. 10.1016/j.jamcollsurg.2008.06.342.CrossRefPubMed
29.
Watson GA, Rosengart MR, Zenati MS, et al: Nonoperative management of severe blunt splenic injury: are we getting better?. J Trauma. 2006, 61: 1113-1118. 10.1097/01.ta.0000241363.97619.d6. discussion 1118-1119CrossRefPubMed
30.
Cocanour CS, Moore FA, Ware DN, Marvin RG, Clark JM, Duke JH: Delayed complications of nonoperative management of blunt adult splenic trauma. Arch Surg. 1998, 133 (6): 619-24. 10.1001/archsurg.133.6.619. discussion 624-5CrossRefPubMed
31.
Velmahos GC, et al: Management of the most severely injured spleen, et al: a multicenter study of the Research Consortium of New England Centers for Trauma (ReCONECT). Arch Surg. 2010, 145 (5): 456-60. 10.1001/archsurg.2010.58.CrossRefPubMed
32.
McIntyre LK, Schiff M, Jurkovich GJ: Failure of nonoperative management of splenic injuries: causes and consequences. Arch Surg. 2005, 140 (6): 563-8. 10.1001/archsurg.140.6.563. discussion 568-9CrossRefPubMed
33.
Peitzman AB, Richardson JD: Surgical treatment of injuries to the solid abdominal organs: a 50-year perspective from the Journal of Trauma. J Trauma. 2010, 69 (5): 1011-21. 10.1097/TA.0b013e3181f9c216.CrossRefPubMed
34.
Moore FA, Davis JW, Moore EE Jr, Cocanour CS, West MA, McIntyre RC Jr: Western Trauma Association critical decisions in trauma: management of adults splenic trauma. J Trauma. 2008, 65: 1007-1011. 10.1097/TA.0b013e31818a93bf.CrossRefPubMed
35.
Duchesne JC, Simmons JD, Schmieg RE Jr, McSwain NE Jr, Bellows CF: Proximal splenic angioembolization does not improve outcomes in treating blunt splenic injuries compared with splenectomy: a cohort analysis. J Trauma. 2008, 65 (6): 1346-51. 10.1097/TA.0b013e31818c29ea. discussion 1351-3CrossRefPubMed
36.
Peitzman AB, Harbrecht BG, Rivera L, Heil B: Failure of observation of blunt splenic injury in adults: variability in practice and adverse consequences. J Am Coll Surg. 2005, 201: 179-187. 10.1016/j.jamcollsurg.2005.03.037.CrossRefPubMed
37.
Franklin GA, Casós SR: Current advances in the surgical approach to abdominal trauma. Injury. 2006, 37 (12): 1143-56. 10.1016/j.injury.2006.07.018. Epub 2006 Nov 7CrossRefPubMed
38.
39.
Richardson JD: Changes in the management of injuries to the liver and spleen. J Am Coll Surg. 2005, 200 (5): 648-69. 10.1016/j.jamcollsurg.2004.11.005. ReviewCrossRefPubMed
Metadata
Title
Non operative management of liver and spleen traumatic injuries: a giant with clay feet
Authors
Salomone Di Saverio
Ernest E Moore
Gregorio Tugnoli
Noel Naidoo
Luca Ansaloni
Stefano Bonilauri
Michele Cucchi
Fausto Catena
Publication date
01-12-2012
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2012
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-7-3

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