ArticleSurgery today2021
Early re-laparotomy for patients with high-grade liver injury after damage-control surgery and perihepatic packing.
Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Timing of planned reoperation after damage control surgery in patients with trauma: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2025Pooled it
- Role of Damage Control Surgery in Severe Liver Trauma: A Systematic Review of Mortality, Morbidity, and ICU Stay.Cureus · 2025Review
- Empirical and modified hemostatic resuscitation for liver blast injury combined with seawater immersion: A preliminary study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Gauze Packing and Removal: Two-staged Operations for Hemostasis of Traumatic Sinus Injury.NMC case report journal · 2025Article
- The Diagnosis and Management of Pediatric Blunt Abdominal Trauma-A Comprehensive Review.Diagnostics (Basel, Switzerland) · 2024Review
- "Zooming" in strategies and outcomes for trauma cases with Injury Severity Score (ISS) ≥16: promise or passé?Revista da Associacao Medica Brasileira (1992) · 2022Article
- Reinterventions after damage control surgery.Colombia medica (Cali, Colombia)Review
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe likelihood of re-bleeding after damage-control surgery (DCS) and perihepatic packing for high-grade liver injuries is a major concern. Thus, although early re-laparotomy tends to be recommended, we conducted this study to evaluate the feasibility of performing definite laparotomy within ≤ 48 h in this clinical population.
methodsThe subjects of this retrospective study were 65 patients (n = 24, ≤ 48-h group; n = 41, > 48-h group) who underwent DCS and perihepatic packing. The primary outcome was the rate of repacking for bleeding during re-laparotomy and the secondary outcomes were mortality and length of stay in the intensive care unit (ICU).
resultsThe ≤ 48-h group had a higher rate of angioembolization and transfusion of red blood cells (RBCs), fresh frozen plasma, and platelets, but the rates of repacking and mortality were not significantly different between the groups. However, the incidence of pneumonia and ventilation support requirement were significantly lower in the ≤ 48-h group than in the > 48-h group.
conclusionThe re-laparotomy performed within ≤ 48 h after DCS and perihepatic packing is feasible for patients with high grade liver injury, using angioembolization and aggressive transfusion, as required. Early re-laparotomy reduces the need for prolonged ventilator support and the incidence of ventilator-associated pneumonia.
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