Nonoperative management of blunt liver injury in hemodynamically stable versus unstable patients: a retrospective study

Emergency Radiology
Koichi InukaiMasanao Miura

Abstract

The success rate of nonoperative management (NOM) of traumatic liver injury is approximately 90%. Although NOM has become the standard treatment when patients' vital signs are stable, open surgical hemostasis is often selected when these signs are unstable. At our hospital, we extensively use NOM along with transcatheter arterial embolization (TAE) to treat patients with severe abdominal trauma, as per our original protocol. We also apply NOM for severe liver injury with unstable hemodynamics. This retrospective study aimed to investigate the efficacy of NOM for blunt liver injury in hemodynamically stable and unstable patients. We retrospectively examined 23 patients with severe liver injuries who underwent NOM after visiting our emergency outpatient department between 2007 and 2017. Patients were assigned to either the stable group with stable hemodynamics or the unstable group with unstable hemodynamics. The stable group comprised 13 patients, and the unstable group comprised 10 patients. All patients underwent TAE. While all patients in the stable group were discharged alive, one patient in the unstable group died during the hospital stay. The response rate to NOM was 90%, and no patient switched from NOM to open surgery. A...Continue Reading

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Citations

Mar 14, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Siobhán B O'NeillSadia R Qamar
May 15, 2021·Journal of Vascular and Interventional Radiology : JVIR·Makoto AokiKiyohiro Oshima
Jul 15, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Satoshi TamuraYasushi Asari
Aug 2, 2021·Journal of Vascular and Interventional Radiology : JVIR·R Peter Lokken, Miles B Conrad

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