Blunt Liver Trauma: a Systematic Review

INTRODUCTION. The high incidence of closed liver injuries, general and postoperative mortality dictate the need to find optimal treatment options for those patients.AIM OF STUDY. To conduct a systematic review of the literature on the comparative evaluation of various treatment options for patients...

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Main Authors: V. V. Aleksandrov, S. S. Maskin, M. N. Alimov, D. S. Biriulev, V. V. Matyukhin, A. Rachid, S. M. Sigaev
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2025-04-01
Series:Неотложная медицинская помощь
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Online Access:https://www.jnmp.ru/jour/article/view/2072
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Summary:INTRODUCTION. The high incidence of closed liver injuries, general and postoperative mortality dictate the need to find optimal treatment options for those patients.AIM OF STUDY. To conduct a systematic review of the literature on the comparative evaluation of various treatment options for patients with blunt liver injury.MATERIAL AND METHODS. A systematic search for non–randomized studies was conducted from 01 October 2015, and randomized studies - without time limits, until December 31, 2023.RESULTS. There is a clear trend towards non-operative management of hemodynamically stable or stabilized patients, and in case of hemodynamic instability, the use of liver tamponade with angioembolization at the second stage.CONCLUSION. A larger number of well-planned randomized clinical trials are required to concretize the surgical approach to patients with liver injury.
ISSN:2223-9022
2541-8017