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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author V. V. Aleksandrov
S. S. Maskin
M. N. Alimov
D. S. Biriulev
V. V. Matyukhin
A. Rachid
S. M. Sigaev
author_facet V. V. Aleksandrov
S. S. Maskin
M. N. Alimov
D. S. Biriulev
V. V. Matyukhin
A. Rachid
S. M. Sigaev
author_sort V. V. Aleksandrov
collection DOAJ
description 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.
format Article
id doaj-art-64977b056aaf40f2ae73580a9bb9cc54
institution Kabale University
issn 2223-9022
2541-8017
language Russian
publishDate 2025-04-01
publisher Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
record_format Article
series Неотложная медицинская помощь
spelling doaj-art-64977b056aaf40f2ae73580a9bb9cc542025-08-20T03:56:36ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172025-04-0114114115410.23934/2223-9022-2025-14-1-141-1541005Blunt Liver Trauma: a Systematic ReviewV. V. Aleksandrov0S. S. Maskin1M. N. Alimov2D. S. Biriulev3V. V. Matyukhin4A. Rachid5S. M. Sigaev6Volgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityVolgograd State Medical UniversityINTRODUCTION. 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.https://www.jnmp.ru/jour/article/view/2072blunt liver traumaatriocaval shuntingperihepatic packingtemporary prosthesisendovascular surgerystent graftsurgical treatment for liver injuryangioembolizationnon-operative management
spellingShingle V. V. Aleksandrov
S. S. Maskin
M. N. Alimov
D. S. Biriulev
V. V. Matyukhin
A. Rachid
S. M. Sigaev
Blunt Liver Trauma: a Systematic Review
Неотложная медицинская помощь
blunt liver trauma
atriocaval shunting
perihepatic packing
temporary prosthesis
endovascular surgery
stent graft
surgical treatment for liver injury
angioembolization
non-operative management
title Blunt Liver Trauma: a Systematic Review
title_full Blunt Liver Trauma: a Systematic Review
title_fullStr Blunt Liver Trauma: a Systematic Review
title_full_unstemmed Blunt Liver Trauma: a Systematic Review
title_short Blunt Liver Trauma: a Systematic Review
title_sort blunt liver trauma a systematic review
topic blunt liver trauma
atriocaval shunting
perihepatic packing
temporary prosthesis
endovascular surgery
stent graft
surgical treatment for liver injury
angioembolization
non-operative management
url https://www.jnmp.ru/jour/article/view/2072
work_keys_str_mv AT vvaleksandrov bluntlivertraumaasystematicreview
AT ssmaskin bluntlivertraumaasystematicreview
AT mnalimov bluntlivertraumaasystematicreview
AT dsbiriulev bluntlivertraumaasystematicreview
AT vvmatyukhin bluntlivertraumaasystematicreview
AT arachid bluntlivertraumaasystematicreview
AT smsigaev bluntlivertraumaasystematicreview