ArticleBulletin of emergency and trauma2019
Non-Operative Management of Blunt Liver Trauma: Safety, Efficacy and Complications of a Standardized Treatment Protocol.
Article in Bulletin of emergency and trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- ESR Essentials: blunt abdominal trauma in adult patients: vascular injuries to solid organs and mesentery-practice recommendations by the European Society of Emergency Radiology.European radiology · 2026Guideline
- Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Pooled it
- Liver trauma: WSES 2020 guidelines.World journal of emergency surgery : WJES · 2020Guideline
- The effect of silibinin on liver healing following blunt trauma in rats.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Obesity and short-term outcomes in blunt liver trauma with and without surgical repair: evidence from the United States Nationwide Inpatient Sample 2005-2020.Surgical endoscopy · 2025Article
- Outcomes of Traumatic Liver Injuries at a Level-One Tertiary Trauma Center in Saudi Arabia: A 10-Year Experience.Life (Basel, Switzerland) · 2025Article
- Non-operative approaches to major blunt hepatic (Grade IV): a case report.Journal of medical case reports · 2025Article
- A Synergistic Approach To Acute Liver Trauma: Current Guidelines and the Importance of Collaboration Between Interventional Radiology and Trauma Surgery.Seminars in interventional radiology · 2024Review
- Is it possible to predict mortality in patients with high-grade blunt liver injury? A single trauma center study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- 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
- Advances, challenges and future applications of liver organoids in experimental regenerative medicine.Frontiers in medicine · 2024Review
- Use of angioembolization, treatment modalities and mortality in association with blunt liver trauma in Germany - a data analysis of the TraumaRegister DGU®.Langenbeck's archives of surgery · 2023Article
- Abdominal compartment syndrome: what radiologist needs to know.La Radiologia medica · 2023Review
- Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report.Journal of trauma and injury · 2023Article
- Hepatobiliary-specific magnetic resonance contrast agents: role in biliary trauma.Gland surgery · 2023Review
- Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review.Journal of trauma and injury · 2023Review
- Grade V Liver Injury Presented With Peritonitis Treated With Stapler-Assisted Hepatic Segmentectomy: A Case Report.Cureus · 2023Article
- Non-Operative Management of Polytraumatized Patients: Body Imaging beyond CT.Diagnostics (Basel, Switzerland) · 2023Review
- Accuracy of computed tomography in staging acute appendicitis and its impact on surgical outcome and strategy: a multi-center retrospective case-control study.La Radiologia medica · 2023Article
Corrections and comments
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Authors and funding
14 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the safety and effectiveness of NOM (non-operative management) in the treatment of blunt liver trauma, following a standardized treatment protocol.
methodsAll the hemodynamically stable patients with computed tomography (CT) diagnosis of blunt liver trauma underwent NOM. It included strict clinical and laboratory observation, 48-72h contrast enhanced ultrasonography (CEUS) or CT follow-up, a primary angioembolization in case of admission CT evidence of vascular injuries and a secondary angioembolization in presence of vascular injuries signs at follow-up CEUS.
results181 patients (85.4%) [55 (30.4%) women and 126 (69.6%) men, median age 39 (range 14-71)] were included. Of these, 63 patients (34.8%) had grade I, 48 patients (26.5%) grade II, 39 patients (21.5%) grade III, 21 patients (11.6%) grade IV and 10 patients (5.5%) grade V liver injuries. The overall success rate of NOM was 96.7% (175/181). There was not significant difference in the success rate between the patients with different liver injuries grade. Morbidity rate was 7.4% (13/175). Major complications (2 bilomas, 1 liver hematoma and 2 liver abscesses) were successfully treated by CEUS or CT guided drainage. Eighteen (18/181) patients (9.9%) underwent angioembolization with successful results.
conclusionNon-operative management of blunt liver trauma represents a safe and effective treatment for both minor and severe injuries, achieving an high success rate and an acceptable morbidity rate. The angiographic study with embolization, although required only in selected cases of vascular injuries, represents a fundamental therapeutic option in a significant percentage of patients.
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