Long‐Term Follow‐Up After Non‐operative Management of Blunt Splenic and Liver Injuries: A Questionnaire‐Based Survey

Moreno, Peter; Allmen, M. von; Haltmeier, Tobias; Candinas, Daniel; Schnüriger, Beat

doi:10.1007/s00268-017-4336-5

Cited by 9 publications

(3 citation statements)

References 30 publications

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“…Blunt liver trauma can be mild, moderate or severe. Mild and moderate liver trauma can be managed conservatively without surgery [3,11,15,18].…”

Section: Conservative Treatment Of Liver Traumamentioning

confidence: 99%

Hepatic Trauma

Yahya¹

2018

Liver Research and Clinical Management

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Liver is the second most common solid organ frequently injured by blunt trauma and could be the commonest organ injured by penetrating trauma. The injury can be mild and goes undetected or detected and treated conservatively. It can be severe where the liver wounds can bleed until death. Once the patients with liver injury are resuscitated, the degree of liver injury can be evaluated using ultrasound scan and computed tomography imaging. If the patient is stable, diagnostic peritoneal lavage is very helpful when the imaging facilities are not available. Non-operative treatment of liver trauma has been proven to be valuable in 80% of patients with grade I, II, III and IV (grade I-mild injury; grade II-moderate injury; grade III and IV-severe liver injury). Laparotomy is mandatory if the patient's condition is unstable. By using the explorative laparotomy technique, the grade of liver injury is assessed, and accordingly the procedure is performed including suturing, ligation of the bleeding vessel, segmental resection, perihepatic packing, and so on. Morbidity and mortality of liver injury can be minimized with early diagnosis and appropriate management.

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“…Blunt liver trauma can be mild, moderate or severe. Mild and moderate liver trauma can be managed conservatively without surgery [3,11,15,18].…”

Section: Conservative Treatment Of Liver Traumamentioning

confidence: 99%

Hepatic Trauma

Yahya¹

2018

Liver Research and Clinical Management

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“…Indeed, the prevalence of chronic pain has been estimated to varied between 20% and 80% during the recovery trajectory of trauma and acute care surgery patients. [4][5][6][7][8][9] Acute pain is expected to last a short time and can be clearly linked to an injury. 10 Conversely, chronic pain lasts beyond the usual course of injury healing and is present on most days, or every day, over a 3-month period or more.…”

Section: Introductionmentioning

confidence: 99%

Strategies aimed at preventing chronic opioid use in trauma and acute care surgery: a scoping review protocol

et al. 2020

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IntroductionGlobally every year, millions of patients sustain traumatic injuries and require acute care surgeries. A high incidence of chronic opioid use (up to 58%) has been documented in these populations with significant negative individual and societal impacts. Despite the importance of this public health issue, optimal strategies to limit the chronic use of opioids after trauma and acute care surgery are not clear. We aim to identify existing strategies to prevent chronic opioid use in these populations.Methods and analysisWe will perform a scoping review of peer-reviewed and non-peer-reviewed literature to identify studies, reviews, recommendations and guidelines on strategies aimed at preventing chronic opioid use in patients after trauma and acute care surgery. We will search MEDLINE, EMBASE, PsycINFO, CINHAL, Cochrane Central Register of Controlled Trials, Web of Science, ProQuest and websites of trauma and acute care surgery, pain, government and professional organisations. Databases will be searched for papers published from 1 January 2005 to a maximum of 6 months before submission of the final manuscript. Two reviewers will independently evaluate studies for eligibility and extract data from included studies using a standardised data abstraction form. Preventive strategies will be classified according to their types and targeted trauma populations and acute care surgery procedures.Ethics and disseminationResearch ethics approval is not required as this study is based on the secondary use of published data. This work will inform research and clinical stakeholders on the required next steps towards the uptake of effective strategies aimed at preventing chronic opioid use in trauma and acute care surgery patients.

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“…A number of large series have attempted to examine the management of blunt solid organ injuries; however, only a few studies regarding management for the long term follow-up after discharge from the hospitals exist. [13] According to our research in recent literature, there is no published work so far with high volume of patient population (considering at least 100 cases) which is focused on the application of CT scanning for the postdischarge evaluation of blunt solid organ injured patients having history of NOM.…”

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confidence: 99%

Are radiological modalities really necessary for the long-term follow-up of patients having blunt solid organ injuries? A single center study

İlhan

Sönmez

Kut

et al. 2019

World Journal of Emergency Medicine

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Long‐Term Follow‐Up After Non‐operative Management of Blunt Splenic and Liver Injuries: A Questionnaire‐Based Survey

Abstract: A third of patients with blunt SOI undergoing sNOM reported long-term abdominal symptoms. Younger age was associated with chronic abdominal symptoms. More studies are warranted to investigate long-term outcomes immunologic sequelae in patients after sNOM for SOI.

Cited by 9 publications

References 30 publications

Hepatic Trauma

Hepatic Trauma

Strategies aimed at preventing chronic opioid use in trauma and acute care surgery: a scoping review protocol

Are radiological modalities really necessary for the long-term follow-up of patients having blunt solid organ injuries? A single center study

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