Isolated liver trauma: A clinical perspective in a non-emergency center for liver surgery

xlomafota13 shared this article with you from Inoreader Isolated liver trauma: A clinical perspective in a non-emergency center for liver surgery Via Experimental and therapeutic medicine Exp Ther Med. 2022 Jan;23(1):39. doi: 10.3892/etm.2021.10961. Epub 2021 Nov 11. ABSTRACT The management of liver trauma is, currently, still heterogeneous ranging from conservative to major invasive liver resections. When appropriate, these cases should be referred to a regional care center. The objective of this study was to analyze the expertise of a non-emergency center for liver surgery from Romania after initial stabilization in county hospitals. This study is a monocentric, retrospective, observational study, including 12 patients with hepatic trauma after a car accident, admitted between 2015 and 2019. We analyzed various clinical and biochemical data as independent variables, and the main outcome was considered the intensive care unit (ICU) length of stay. Our results revealed that intubation status at admission, norepinephrine infusion during surgery, hyperfibrinogenemia and duration of mechanical ventilation in patients with isolated liver trauma were correlated with prolonged ICU length of stay. Further prospective, more comprehensive studies are needed in order to evaluate the exact prognostic factors in terms of short- and long-term mortality. PMID:34849154 | PMC:PMC8613533 | DOI:10.3892/etm.2021.10961 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.