Unlike blunt liver trauma, penetrating liver trauma especially that secondary to projectiles
has not seen a shift in emphasis from operative to nonoperative management. Surgical
intervention is still the management of choice [
[1]
]. The reasons are: (i) a high likelihood of associated injuries and inability to accurately
predict hollow viscus injury with noninvasive investigations; and (ii) inability to
accurately predict the extent of parenchymal liver damage around the projectile track.To read this article in full you will need to make a payment
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References
- Morbidity and mortality following major penetrating liver injuries.Arch. Surg. 1994; 129: 256-261
- Organ injury scaling: spleen, liver and kidney.J. Trauma. 1989; 29: 1664-1666
- Continuing evolution in the approach to severe liver trauma.Ann. Surg. 1992; 216: 524-538
- Hepatic trauma: risk factors influencing outcome.Br. J. Surg. 1988; 75: 520-524
- Complex hepatic injuries.Surg. Clin. North Am. 1996; 76: 763-782
- Gunshot wounds to the right thoracoabdomen: A prospective study of nonoperative management.J. Trauma. 1994; 37: 737
Article info
Publication history
Accepted:
July 2,
1999
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
