title: [Non-surgical management after blunt traumatic liver injuries: A review article].
abstract: Hepatic trauma is a common cause for admissions in the Emergency Room. Currently, non-surgical management is the standard treatment in haemodynamically stable patients with a success rate of around 85 to 98%. This haemodynamic stability is the most important factor in selecting the appropriate patient. Adjuncts in non-surgical management are angioembolisation, image-guided drainage and endoscopic retrograde cholangiopancreatography. Failure in non-surgical management is relatively rare but potentially fatal, and needs to be recognised and aggressively treated as early as possible. The main cause of failure in non-surgical management is persistent haemorrhage. The aim of this paper is to describe current evidence and guidelines that support non-surgical management of liver injuries in blunt trauma.
authors.affiliation: Jefatura del Área de Cirugía, Hospital Central Militar, Secretaría de la Defensa Nacional México, Ciudad de México, México. Electronic address: hfnoyola@prodigy.net.mx.
authors.forename: Héctor Faustino
authors.initials: HF
authors.lastname: Noyola-Villalobos
authors.affiliation: Departamento de Cirugía Hepato-Bilio-Pancreática y Trasplante, Hospital Central Militar, Secretaría de la Defensa Nacional México, Ciudad de México, México.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Loera-Torres
authors.affiliation: Departamento de Cirugía Hepato-Bilio-Pancreática y Trasplante, Hospital Central Militar, Secretaría de la Defensa Nacional México, Ciudad de México, México.
authors.forename: Enrique
authors.initials: E
authors.lastname: Jiménez-Chavarría
authors.affiliation: Sub-sección de Cirugía del Trauma, Hospital Central Militar, Secretaría de la Defensa Nacional México, Ciudad de México, México.
authors.forename: Olliver
authors.initials: O
authors.lastname: Núñez-Cantú
authors.affiliation: Departamento de Urgencias, Hospital Central Militar, Secretaría de la Defensa Nacional México, Ciudad de México, México.
authors.forename: Luis Manuel
authors.initials: LM
authors.lastname: García-Núñez
authors.affiliation: Dirección del Hospital Central Militar, Secretaría de la Defensa Nacional México, Ciudad de México, México.
authors.forename: Fernando Federico
authors.initials: FF
authors.lastname: Arcaute-Velázquez
mesh_terms: D000007:Abdominal Injuries / Q000503:physiopathology / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D019468:Disease Management; D004322:Drainage; D004621:Embolization, Therapeutic; D004630:Emergencies; D006439:Hemodynamics; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000503:physiopathology; D017410:Practice Guidelines as Topic; D014949:Wounds, Nonpenetrating / Q000503:physiopathology / Q000628:therapy*
keywords: Blunt; Contuso; Guidelines; Guía clínica; Hígado; Injuries; Lesiones; Liver; Trauma abdominal