Outcomes and indications for intervention in non-operative management of paediatric liver trauma: A 5 year retrospective study

2014 ◽  
Vol 69 (2) ◽  
pp. 157-162 ◽  
Author(s):  
R. Inchingolo ◽  
A. Ljutikov ◽  
A. Deganello ◽  
P. Kane ◽  
J. Karani
Keyword(s):  
Retrospective Study ◽  
Operative Management ◽  
Liver Trauma ◽  
Non Operative Management

scholarly journals P7 A review of the understanding and use of the Regional Liver Trauma Guidelines

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Rohan Thakkar ◽  
Khaled Ammar ◽  
Ellen Meredith ◽  
Michael Jones ◽  
Ellen Meredith ◽  
...  
Keyword(s):  
Regional Distribution ◽  
Bile Leak ◽  
Operative Management ◽  
Liver Trauma ◽  
Trauma Patients ◽  
North East ◽  
The North ◽  
Close Observation ◽  
Patient’S Outcome ◽  
Non Operative Management

Abstract Introduction The liver is the most commonly injured intra-abdominal organ and occurs in 30% of patients undergoing laparotomy for penetrating injuries and in 15–20% of laparotomies for blunt injuries. CT scan is the investigation of choice for accurate diagnosis and categorization of hepatic injury. Management of isolated liver trauma can be by operative or non-operative management, guided mainly by haemodynamic stability of the patient irrespective to category of injury. Close observation of patients undergoing non-operative management is important; they may develop early complications that require operative intervention, including bleeding, bile leak and peritonitis. Methods A questionnaire will be sent to the General Surgery consultants and registrars within the North East of England, a region with eleven hospitals taking General Surgical admissions, two of which are regional trauma centres. This is to assess the understanding of liver trauma classification and management and their familiarity with and adherence to the regional liver trauma guidelines. Following this, the guidelines will be distributed throughout the region with accompanying teaching sessions. A follow up questionnaire will determine the improvement of regional knowledge and use of the guidelines. In parallel, the outcome of liver trauma patients within the region will be sought to look for correlation between the education and the patient’s outcome. Results Regional distribution of the results will demonstrate the change in the education of liver trauma management and the subsequent change in patient’s outcome. Results will be recorded using Excel and analysed using SPSS statistical software.

scholarly journals An Unusual Recurrent Bile Leak Following High Grade Liver Trauma

2021 ◽  
Vol 11 (3) ◽  
pp. 137-140
Author(s):  
Morgan E Jones ◽  
Ee Jun Ban ◽  
Charles H. C. Pilgrim
Keyword(s):  
Liver Injury ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
High Speed ◽  
Bile Leak ◽  
Biliary Tree ◽  
Operative Management ◽  
Liver Trauma ◽  
Post Injury ◽  
Endoscopic Retrograde ◽  
Non Operative Management

Non-operative management of blunt liver injury has been demonstrated as a safe and effective treatment for most grades of injury. As the severity of liver injury increases, so does the risk of complications. A 21-year-old male was brought to the trauma center following a high speed motorbike accident. He underwent a laparotomy and angioembolization for a Grade 4 liver injury. A biloma was diagnosed on Day 18 post injury, and he underwent Endoscopic Retrograde Cholangiopancreatography and biliary stenting which were unsuccessful. There were 2 re-admissions for infected perihepatic collections. In this case, an Endoscopic Retrograde Cholangiopancreatography was not a helpful procedure due to a disconnected liver segment, and morbidity occurred due to instrumentation of the biliary tree (the likely cause of infected biloma). Hepatic resection should be considered for patients who fail non-operative management. Further assessment of efficacy using a larger dataset for analysis is required.

Blunt liver trauma: non-operative or operative management. A retrospective study

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed Saada ◽  
Emad El Deen Gamal ◽  
Hazem Nour ◽  
Morsi Morsi
Keyword(s):  
Retrospective Study ◽  
Operative Management ◽  
Liver Trauma ◽  
Blunt Liver Trauma

Non-operative management of liver trauma

2012 ◽  
Vol 84 (6) ◽  
pp. 330-334
Author(s):  
A. Marinis ◽  
S. Rizos
Keyword(s):  
Operative Management ◽  
Liver Trauma ◽  
Non Operative Management

scholarly journals "The best is nothing": Non-operative management of hemodynamically stable grade V liver trauma

2015 ◽  
Vol 8 (4) ◽  
pp. 239 ◽  
Author(s):  
Salomone Di Saverio ◽  
Gregorio Tugnoli ◽  
Francesco Cinquantini ◽  
Carlo Coniglio ◽  
Andrea Biscardi ◽  
...  
Keyword(s):  
Operative Management ◽  
Liver Trauma ◽  
Non Operative Management

Biliovascuar complications: a price to pay for non-operative management of major liver trauma

2019 ◽  
Vol 74 (5) ◽  
Author(s):  
Yashwant R. Sakaray ◽  
Vikas Gupta ◽  
Thakur D. Yadav ◽  
Naveen Kalra ◽  
Virendra Singh
Keyword(s):  
Operative Management ◽  
Liver Trauma ◽  
Non Operative Management

Non-operative management of high grade blunt liver trauma: case report

2010 ◽  
Vol 26 (1) ◽  
pp. 39
Author(s):  
Mircelal Kazimi ◽  
Savas Yakan ◽  
Rasim Farajov ◽  
Murat Kilic
Keyword(s):  
Case Report ◽  
Operative Management ◽  
Liver Trauma ◽  
High Grade ◽  
Trauma Case ◽  
Non Operative Management ◽  
Blunt Liver Trauma
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