ReviewWorld journal of surgery2009
Management of liver trauma.
Review in World journal of surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.
- Liver trauma: WSES 2020 guidelines.World journal of emergency surgery : WJES · 2020Guideline
- Cadaveric training of total hepatic vascular exclusion for juxtahepatic venous injury: a technical study.Langenbeck's archives of surgery · 2026Article
- Prognostic Factors of Mortality and Clinical Characteristics of Patients Surgically Treated for Blunt Liver Injury-A Single-Center Experience.Journal of clinical medicine · 2026Article
- Limited Diagnostic Value of miRNAs in Early Trauma-Induced Liver Injury: Only miRNA-122 Emerges as a Late-Phase Marker.Diagnostics (Basel, Switzerland) · 2025Article
- High-grade liver injury: outcomes with a trauma surgery-liver surgery collaborative approach.Trauma surgery & acute care open · 2025Article
- Management and Outcomes of Traumatic Liver Injury: A Retrospective Analysis from a Tertiary Care Center Experience.Healthcare (Basel, Switzerland) · 2024Article
- Portal vein embolization following arterial portography for the management of an active portal bleeding after blunt liver trauma in a cirrhotic patient.CVIR endovascular · 2024Article
- Diagnosis of traumatic liver injury on computed tomography using machine learning algorithms and radiomics features: The role of artificial intelligence for rapid diagnosis in emergency rooms.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024Article
- The Role of Gasdermin-D-Mediated Pyroptosis in Organ Injury and Its Therapeutic Implications.Organogenesis · 2023Review
- [Management and treatment of liver injuries after blunt abdominal trauma].Chirurgie (Heidelberg, Germany) · 2023Review
- Dual phenotypic characteristics of P-selectin in a mouse model of hemorrhagic shock and hepatectomy.Heliyon · 2023Article
- [Blunt abdominal trauma in children and adolescents: treatment concepts in the acute phase].Chirurgie (Heidelberg, Germany) · 2023Article
- Improvements over time for patients following liver trauma: A 17-year observational study.Frontiers in surgery · 2023Article
- Predictive factors of non-operative management failure in 494 blunt liver injuries: a multicenter retrospective study.Updates in surgery · 2022Observational
- Inflammatory response to the ischaemia-reperfusion insult in the liver after major tissue trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
- Portal vein embolization in intrahepatic portal vein injury after blunt trauma: a case report.Journal of trauma and injury · 2022Article
- Liver Trauma: Management in the Emergency Setting and Medico-Legal Implications.Diagnostics (Basel, Switzerland) · 2022Review
- Liver Trauma: Until When We Have to Delay Surgery? A Review.Life (Basel, Switzerland) · 2022Review
- A deep learning framework for automated detection and quantitative assessment of liver trauma.BMC medical imaging · 2022Article
- Hepatic trauma.Annals of translational medicine · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlunt and penetrating liver trauma is common and often presents major diagnostic and management problems.
methodsA literature review was undertaken to determine the current consensus on investigation and management strategies.
resultsThe liver is the most frequently injured organ following abdominal trauma. Immediate assessment with ultrasound has replaced diagnostic peritoneal lavage in the resuscitation room, but computerised tomography remains the gold standard investigation. Nonoperative management is preferred in stable patients but laparotomy is indicated in unstable patients. Damage control techniques such as perihepatic packing, hepatotomy plus direct suture, and resectional debridement are recommended. Major complex surgical procedures such as anatomical resection or atriocaval shunting are now thought to be redundant in the emergency setting. Packing is also recommended for the inexperienced surgeon to allow control and stabilisation prior to transfer to a tertiary centre. Interventional radiological techniques are becoming more widely used, particularly in patients who are being managed nonoperatively or have been stabilised by perihepatic packing.
conclusionsManagement of liver injuries has evolved significantly throughout the last two decades. In the absence of other abdominal injuries, operative management can usually be avoided. Patients with more complex injuries or subsequent complications should be transferred to a specialist centre to optimise final outcome.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.