Elsevier

Current Surgery

Volume 63, Issue 3, May–June 2006, Pages 169-173
Current Surgery

Abstract & commentary
Liver
Nonoperative Management of Liver Gunshot Injuries

https://doi.org/10.1016/j.cursur.2005.12.004Get rights and content

Section snippets

Selective non-operative management of liver gunshot injuries

Omoshoro-Jones JAO, Nicol AJ, Navasaria R, et al. Br J Surg. 2005;92:890-895.

Objective: To determine the safety and efficacy of nonoperative management of gunshot injuries to the liver.

Design: Prospective, observational study of patients with documented gunshot injuries to the liver at an urban level 1 trauma center.

Setting: Groote Schuur Hospital Trauma Unit, University of Cape Town, South Africa.

Participants: Thirty-three out of 124 patients with documented hepatic gunshot injuries met

Gunshot injuries to the liver: The role of selective nonoperative management

Demetriades D, Gomez H, Chahwan S, et al. J Am Coll Surg. 1999;188:343-348.

Objective: To evaluate the safety and effectiveness of nonoperative management in selected patients with gunshot injuries to the liver.

Design: Retrospective case series of hepatic gunshot injuries.

Setting: University of Southern California, Los Angeles, California.

Participants: Sixteen of 52 (31%) patients were selected for nonoperative management of hepatic gunshot injuries.

Methods: Selective nonoperative management of

Reviewer summary

Nonoperative management of gunshot injuries of the liver prompts consideration of a much broader and perhaps more important issue: nonoperative management of penetrating abdominal trauma. In general terms, nonoperative management of blunt abdominal trauma has become the standard of care. Considerable evidence supporting this practice paradigm for victims of blunt abdominal trauma exists, which includes practice management guidelines for the nonoperative management of blunt injury to the liver

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