Open AccessNon-surgical management after blunt traumatic liver injuries: A review article
Author(s) -
Héctor Faustino Noyola-Villalobos,
Marco Antonio Loera-Torres,
Enrique Jiménez-Chavarría,
Olliver Núñez-Cantú,
Luis Manuel García-Núñez,
Fernando Federico Arcáute-Velázquez
Publication year - 2016
Publication title -
cirugía y cirujanos
Language(s) - English
Resource type - Journals
ISSN - 2444-0507
DOI - 10.1016/j.circen.2016.04.006
Subject(s) - medicine , blunt , surgery , general surgery , gynecology
Hepatic trauma is a common cause for admissions in the Emergency Room. Currently, non-surgical management is the standard treatment in haemodynamically stable patients with a success rate of around 85–98%. This haemodynamic stability is the most important factor in selecting the appropriate patient. Adjuncts in non-surgical management are angioembolisation, image-guided drainage and endoscopic retrograde cholangiopancreatography. Failure in non-surgical management is relatively rare but potentially fatal, and needs to be recognised and aggressively treated as early as possible. The main cause of failure in non-surgical management is persistent haemorrhage.The aim of this paper is to describe current evidence and guidelines that support non-surgical management of liver injuries in blunt trauma