@article{ref1,
title="Management of hepatic trauma: a 9-year experience in 's-Hertogenbosch",
journal="Acta chirurgica Belgica",
year="2009",
author="van Vugt, R. and Bosscha, K. and Olsman, J. and Jager, G. J. and de Jager, C. P. Canter",
volume="109",
number="1",
pages="42-46",
abstract="BACKGROUND: In patients who sustain abdominal trauma the liver is the most frequently injured organ. Although treatment for haemodynamically unstable patients remains urgent surgery, there has been a shift of management in haemodynamacally stable patients towards non-operative management. We performed an outcome assessment of traumatic hepatic injury. METHODS: A retrospective study was performed to assess incidence, mechanisms, management and outcome of traumatic liver injury in the region of 's-Hertogenbosch, The Netherlands, in the period 1999-2007. RESULTS: A total of 47 patients were identified. Thirty-six patients had blunt hepatic trauma, eleven sustained penetrating hepatic injury. In 67% (n = 24) of the blunt hepatic trauma patients the initial intention was to treat non-operatively. Yet, two patients underwent explorative laparotomy after one and two days. In the penetrating liver trauma patients, 91% (n = 10) underwent urgent surgery. In total, 31 of 47 patients were treated conservatively. CONCLUSION: Blunt hepatic trauma is the most common cause of hepatic trauma. Most patients sustaining hepatic trauma can be managed conservatively at a dedicated ICU and/or surgical trauma ward.<p /> <p>Language: en</p>",
language="en",
issn="0001-5458",
doi="",
url="http://dx.doi.org/"
}