ArticleWorld journal of emergency surgery : WJES2019
Non-operative management of blunt hepatic and splenic injury: a time-trend and outcome analysis over a period of 17 years.
Article in World journal of emergency surgery : WJES, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 83 citations in OpenAlex.
- 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
- Safety and effectiveness of nonoperative management in liver lacerations: a retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Observational
- Latent class analysis to identify subphenotypes predicting pediatric splenic pseudoaneurysm following blunt spleen injuries: A post-hoc analysis.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
- Computed tomography of pediatric abdominal trauma: optimizing utilization and enhancing diagnostic interpretation.Pediatric radiology · 2025Review
- Blunt abdominal trauma: a retrospective study on clinical insights and treatment outcomes.Journal of trauma and injury · 2025Article
- Prevalence, characteristics and treatment of concomitant injury to liver and spleen with vascular injury after blunt abdominal trauma.Scientific reports · 2025Article
- Article
- Risk factors of 180-day rebleeding after management of blunt splenic injury without surgery and embolization: a national database study.World journal of emergency surgery : WJES · 2025Article
- The negative effect of preexisting cirrhosis on blunt liver trauma patients: a multifaceted approach from the trauma quality improvement program database.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- IPCellular & molecular biology letters · 2024Article
- Surgical Treatment versus Conservative Management of Splenic Rupture: Outcomes and Risk Factors.Bulletin of emergency and trauma · 2024Article
- Potential new treatment for inferior vena cava injury using extracorporeal membrane oxygenation applying flow diversion effect.Trauma surgery & acute care open · 2024Article
- Predictive factors of non-operative management failure in 494 blunt liver injuries: a multicenter retrospective study.Updates in surgery · 2022Observational
- Abdominal pain is a main manifestation of delayed bleeding after splenic injury in patients receiving non-operative management.Scientific reports · 2022Review
- Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience.Biomedical reports · 2022Article
- Predictors of transfer from a remote trauma facility to an urban level I trauma center for blunt splenic injuries: a retrospective observational multicenter study.Patient safety in surgery · 2022Article
- Delayed laparoscopic peritoneal washout in non-operative management of blunt abdominal trauma: a scoping review.World journal of emergency surgery : WJES · 2022Article
- Clinical features and direct medical cost of splenic injury in China: a cross-sectional study.BMJ open · 2022Article
- Surgical registrars' exposure to trauma laparotomy: A retrospective study from a level 1 trauma centre in New Zealand.Surgery in practice and science · 2022Article
- Absence of Stress Hyperglycemia Indicates the Most Severe Form of Blunt Liver Trauma.Diagnostics (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
13 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: A widespread shift to non-operative management (NOM) for blunt hepatic and splenic injuries has been observed in most centers worldwide. Furthermore, many countries introduced safety measures to systematically reduce severe traffic and leisure sports injuries. This study aims to evaluate the effect of these nationwide implementations on individual patient characteristics and outcomes through a time-trend analysis over 17 years in an Austrian high-volume trauma center. Methods: A retrospective review of all emergency trauma patients admitted to the Medical University of Innsbruck from 2000 to 2016. Injury severity, clinical data on admission, operative and non-operative treatment parameters, complications, and in-hospital mortality were evaluated. Results: In total, 731 patients were treated with blunt hepatic and/or splenic injuries. Among these, 368 had a liver injury, 280 splenic injury, and 83 combined hepatic/splenic injury. Initial NOM was performed in 82.6% of all patients (93.5% in hepatic and 71.8% in splenic injuries) with a success rate of 96.7%. The secondary failure rate of NOM was 3.3% and remained consistent over 17 years ( Conclusion: Our cohort represents one of the largest Central European single-center experiences available in the literature. NOM is the standard of care for blunt hepatic and splenic injuries and successful in > 96% of all patients. This rate was quite constant over 17 years (
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