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Liver injury following blunt abdominal trauma: a new mechanism-driven classification
PURPOSES: The current classifications for blunt liver trauma focus only on the extent of liver injury. However, these scores are independent from the localization of liver injury and mechanism of trauma. METHODS: The type of liver injury after blunt abdominal trauma was newly classified as type A wh...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Japan
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898124/ https://www.ncbi.nlm.nih.gov/pubmed/23459788 http://dx.doi.org/10.1007/s00595-013-0515-7 |
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author | Slotta, J. E. Justinger, C. Kollmar, O. Kollmar, C. Schäfer, T. Schilling, M. K. |
author_facet | Slotta, J. E. Justinger, C. Kollmar, O. Kollmar, C. Schäfer, T. Schilling, M. K. |
author_sort | Slotta, J. E. |
collection | PubMed |
description | PURPOSES: The current classifications for blunt liver trauma focus only on the extent of liver injury. However, these scores are independent from the localization of liver injury and mechanism of trauma. METHODS: The type of liver injury after blunt abdominal trauma was newly classified as type A when it was along the falciform ligament with involvement of segments IVa/b, III, or II, and type B when there was involvement of segments V–VIII. With the use of a prospectively established database, the clinical, perioperative, and outcome data were analyzed regarding the trauma mechanism, as well as the radiological and intraoperative findings. RESULTS: In 64 patients, the type of liver injury following blunt abdominal trauma was clearly linked with the mechanism of trauma: type A injuries (n = 28) were associated with a frontal trauma, whereas type B injuries (n = 36) were found after complex trauma mechanisms. The demographic data, mortality, ICU stay, and hospital stay showed no significant differences between the two groups. Interestingly, all patients with type A ruptures required immediate surgical intervention, whereas six patients (16.7 %) with type B ruptures could be managed conservatively. CONCLUSIONS: This new classification for blunt traumatic hepatic injury is based on the localization of parenchymal disruption and correlates with the mechanism of trauma. The type of liver injury correlated with the necessity for surgical therapy. |
format | Online Article Text |
id | pubmed-3898124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Springer Japan |
record_format | MEDLINE/PubMed |
spelling | pubmed-38981242014-01-28 Liver injury following blunt abdominal trauma: a new mechanism-driven classification Slotta, J. E. Justinger, C. Kollmar, O. Kollmar, C. Schäfer, T. Schilling, M. K. Surg Today Original Article PURPOSES: The current classifications for blunt liver trauma focus only on the extent of liver injury. However, these scores are independent from the localization of liver injury and mechanism of trauma. METHODS: The type of liver injury after blunt abdominal trauma was newly classified as type A when it was along the falciform ligament with involvement of segments IVa/b, III, or II, and type B when there was involvement of segments V–VIII. With the use of a prospectively established database, the clinical, perioperative, and outcome data were analyzed regarding the trauma mechanism, as well as the radiological and intraoperative findings. RESULTS: In 64 patients, the type of liver injury following blunt abdominal trauma was clearly linked with the mechanism of trauma: type A injuries (n = 28) were associated with a frontal trauma, whereas type B injuries (n = 36) were found after complex trauma mechanisms. The demographic data, mortality, ICU stay, and hospital stay showed no significant differences between the two groups. Interestingly, all patients with type A ruptures required immediate surgical intervention, whereas six patients (16.7 %) with type B ruptures could be managed conservatively. CONCLUSIONS: This new classification for blunt traumatic hepatic injury is based on the localization of parenchymal disruption and correlates with the mechanism of trauma. The type of liver injury correlated with the necessity for surgical therapy. Springer Japan 2013-03-05 2014 /pmc/articles/PMC3898124/ /pubmed/23459788 http://dx.doi.org/10.1007/s00595-013-0515-7 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Article Slotta, J. E. Justinger, C. Kollmar, O. Kollmar, C. Schäfer, T. Schilling, M. K. Liver injury following blunt abdominal trauma: a new mechanism-driven classification |
title | Liver injury following blunt abdominal trauma: a new mechanism-driven classification |
title_full | Liver injury following blunt abdominal trauma: a new mechanism-driven classification |
title_fullStr | Liver injury following blunt abdominal trauma: a new mechanism-driven classification |
title_full_unstemmed | Liver injury following blunt abdominal trauma: a new mechanism-driven classification |
title_short | Liver injury following blunt abdominal trauma: a new mechanism-driven classification |
title_sort | liver injury following blunt abdominal trauma: a new mechanism-driven classification |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898124/ https://www.ncbi.nlm.nih.gov/pubmed/23459788 http://dx.doi.org/10.1007/s00595-013-0515-7 |
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