Nonoperative treatment of blunt injury to solid abdominal organs: A prospective study

Archives of Surgery

Volumn 138, Issue 8, 2003, Pages 844-851

  Velmahos, George C ^a,c   Toutouzas, Konstantinos G ^a,c   Radin, Randall ^a,c   Chan, Linda ^b   Demetriades, Demetrios ^a,c   Mullins, Richard J ^b   Shatney, Clayton H ^b   Margulies, Daniel R ^b   Cryer, Gill ^b   Lekawa, Michael E ^b   Tominaga, Gail T ^b   Wisner, David ^b   Wilson, Samuel E ^b  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Department of Biostatistics ^*

^c LAC USC MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ADULT; BLEEDING; BLOOD TRANSFUSION; COMPUTER ASSISTED TOMOGRAPHY; CONFERENCE PAPER; CONTROLLED STUDY; ECHOGRAPHY; FEMALE; FLUID THERAPY; HUMAN; INTESTINE INJURY; KIDNEY INJURY; LIVER INJURY; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; PRIORITY JOURNAL; RISK FACTOR; SPLEEN INJURY; TREATMENT FAILURE; TREATMENT OUTCOME;

ABDOMINAL INJURIES; ADULT; BLOOD TRANSFUSION; CASE-CONTROL STUDIES; FEMALE; HUMANS; KIDNEY; LIVER; MALE; PROSPECTIVE STUDIES; RISK FACTORS; SPLEEN; TREATMENT FAILURE; WOUNDS, NONPENETRATING;

EID: 0043033079     PISSN: 00040010     EISSN: None     Source Type: Journal    
DOI: 10.1001/archsurg.138.8.844     Document Type: Conference Paper

References (29)

1. Richardson JD, Franklin GA, Lukan JK, et al. Evolution in the management of hepatic trauma: a 25-year perspective. Ann Surg. 2000;232:324-330.
2. Knudson MM, Maull KI. Nonoperative management of solid organ injuries: past, present, and future. Surg Clin North Am. 1999;79:1357-1371.
3. Pachter HL, Guth AA, Hofstetter SR, Spencer FC. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Ann Surg. 1998;227:708-717.
4. Croce MA, Fabian TC, Menke PG, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients: results of a prospective trial. Ann Surg. 1995;221:744-753.
5. Sherman HF, Savage BA, Jones LM, et al. Nonoperative management of blunt hepatic injuries: safe at any grade? J Trauma. 1994;37:616-621.
6. Schweitzer W, Tanner S, Baer HU, et al. Management of traumatic liver injuries. Br J Surg. 1993;80:86-88.
7. Hagiwara A, Yukioka T, Ohta S, Nitatory T, Matsuda H, Shimazaki S. Nonsurgical management of patients with blunt splenic injury: efficacy of transcatheter arterial embolization. AJR Am J Roentgenol. 1996;167:159-166.
8. Chen RJ, Fang JF, Lin BC, et al. Selective application of laparoscopy and fibrin glue in the failure of nonoperative management of blunt hepatic trauma. J Trauma. 1998;44:691-695.
9. Goan YG, Huang MS, Lin JM. Nonoperative management for extensive hepatic and splenic injuries with significant hemoperitoneum in adults. J Trauma. 1998;45:360-365.
10. Goff CD, Gilbert CM. Nonoperative management of blunt hepatic trauma. Am Surg. 1995;61:66-68.
11. Matthews LA, Smith EM, Spirnak JP. Nonoperative treatment of major blunt renal lacerations with urinary extravasation. J Urol. 1997;157:2056-2058.
12. Cheng DLW, Lazan D, Stone N. Conservative treatment of type III renal trauma. J Trauma. 1994;36:491-494.
13. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma. 1996;40:31-38.
14. Carillo EH, Spain DA, Wohltman CD, et al. Interventional techniques are useful adjuncts in nonoperative management of hepatic injuries. J Trauma. 1999;46:619-622.
15. Ochsner MG, Knudson MM, Pachter HL, et al. Significance of minimal or no intraperitoneal fluid visible on CT scan associated with blunt liver and splenic injuries: a multicenter analysis. J Trauma. 2000;49:505-510.
16. Wasvary H, Howels G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15-year experience. Am Surg. 1997;63:694-699.
17. Velmahos GC, Chan LS, Kamel E, et al. Nonoperative management of splenic injuries: have we gone too far? Arch Surg. 2000;135:674-681.
18. Moore EE, Shackford SR, Pachter HL, et al. Organ Injury Scaling: spleen, liver, and kidney. J Trauma. 1989;29:1664-1666.
19. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ Injury Scaling: spleen and liver (1994 revision). J Trauma. 1995;38:323-324.
20. Ochsner MG. Factors of failure for nonoperative management of blunt liver and splenic injuries. World J Surg. 2001;25:1393-1396.
21. Schwab CW. Selection of nonoperative management candidates. World J Surg. 2001;25:1389-1392.
22. Shapiro MB, Nance ML, Schiller HJ, Hoff WS, Kauder DR, Schwab CW. Nonoperative management of solid abdominal organ injuries from blunt trauma: impact of neurologic impairment. Am Surg. 2001;67:793-796.
23. Mirvis SE, Whitley NO, Vainwright JR, Gens DR. Blunt hepatic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology. 1989;171:27-32.
24. Becker CD, Spring P, Glattli A, Schweizer W. Blunt splenic trauma in adults: can CT findings be used to determine the need for surgery? AJR Am J Roentgenol. 1994;162:343-347.
25. Brick SH, Taylor GA, Potter BM, Eichelberger M. Hepatic and splenic injury in children: role of CT in the decision for laparotomy. Radiology. 1987;165:643-646.
26. Branney SW, Wolfe RE, Moore EE, et al. Quantitative sensitivity of ultrasound in detecting free intraperitoneal fluid. J Trauma. 1995;39:375-380.
27. Velmahos GC, Demetriades D, Chan L, et al. Predicting the need for thoracoscopic evacuation of residual traumatic hemothorax: chest radiograph is insufficient. J Trauma. 1999;46:65-70.
28. Miller RP, Croce MA, Bee TK, Malhotra AK, Fabian TC. Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative management. J Trauma. 2002;53:238-242.
29. Kemmeter PR, Hoedema RE, Foote JA, Scholten DJ. Concomitant blunt enteric injuries with injuries of the liver and spleen: a dilemma for trauma surgeons. Am Surg. 2001;67:221-225.