Changes in the Diagnosis and Therapeutic Management of Hepatic Trauma. A Retrospective Study Comparing 2 Series of Cases in Different (1997–1984 vs 2001–2008)

Sánchez‐Bueno, Francisco; Fernández-Carrión, Jezabel; Salmerón, Gloria Torres; Pérez, Rocío García; Romero, Pablo Ramírez; Quiñonero, Matilde Fuster; Parrilla, Pascual

doi:10.1016/j.cireng.2011.04.001

Cited by 3 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Liver trauma is responsible for about 15% of all abdominal injuries (1,2) and approximately 5% of all emergency admissions (3). Liver trauma is often combined with further complications, such as secondary bleeding, bile duct injury, bile leakage, and peritonitis syndrome, leading to high mortality that can exceed 75% (4,5). The prognosis of patients could be notably improved by quick evaluation of the injury and minimally invasive treatment (6, 7).…”

Section: Introductionmentioning

confidence: 99%

AI-assisted ultrasound for early liver trauma: Animal models & clinical validation

Song,

He,

Wang

et al. 2024

Preprint

View full text Add to dashboard Cite

The study aimed to develop an AI-assisted ultrasound model for early liver trauma identification, using data from Bama miniature pigs and patients in Beijing, China. A deep learning model was created and fine-tuned with animal and clinical data, achieving high accuracy metrics. In internal tests, the model outperformed both Junior and Senior sonographers. External tests showed the model's effectiveness, with a Dice Similarity Coefficient of 0.74, True Positive Rate of 0.80, Positive Predictive Value of 0.74, and 95% Hausdorff distance of 14.84. The model's performance was comparable to Junior sonographers and slightly lower than Senior sonographers. This AI model shows promise for liver injury detection, offering a valuable tool with diagnostic capabilities similar to those of less experienced human operators.

show abstract

Section: Introductionmentioning

confidence: 99%

AI-assisted ultrasound for early liver trauma: Animal models & clinical validation

Song,

He,

Wang

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…1,2 The study of liver injury mechanisms has long been a focus within the field of injury biomechanics. In the literature, some mechanisms of liver injury are reported.…”

Section: Introductionmentioning

confidence: 99%

Preparation and characterisation of plastic material for liver injury stress assessment model use

Wang

Yang

et al. 2013

Materials Research Innovations

View full text Add to dashboard Cite

2013) Preparation and characterisation of plastic material for liver injury stress assessment model use, Materials Research Innovations, 17:sup1, 107-111 To link to this article: http://dx.A series of plastic materials for an organs injury stress assessment model use were prepared using a blend of potassium stearate (PS), sodium stearate (SS), polyvinyl alcohol (PVA) and paraffin liquid (PL) at various weight ratios. The mechanical properties of the materials were investigated via a compression test using Instron, and the results indicated that the PS/SS/PVA/PL blend with a weight ratio of 0?35 : 0?35 : 0?02 : 0?28 had superior plastic deformation properties. The PS/SS/PVA/PL blend's weight ratio of 0?35 : 0?35 : 0?02 : 0?28 was characterised by using Fourier transform infrared spectroscopy, a scanning electron microscope and differential scanning calorimetry. For a comparison, blend samples of PS/SS/PVA/PL with weight ratios of 0?68 : 0 : 0?2 : 0?30 and 0 : 0?68 : 0?2 : 0?30 were measured using the same methods. The resultsshow that the plastic deformation mechanism is due to the optimal combination of weight ratio of the PS and the SS, and that the carbon chain in the PVA is a backbone of the slip function.

show abstract

Management of complications of first instance of hepatic trauma in a liver surgery unit: Portal vein ligation as a conservative therapeutic strategy

Rocca

Andolfi

Zamboli³

et al. 2019

Open Medicine

View full text Add to dashboard Cite

AbstractBackgroundAccording to the National Trauma Data Bank, the liver, after the spleen, is the first most injured organ in closed abdominal trauma.MethodsFrom June 2010 to December 2015 we observed in our department of Hepato-biliary Surgery and Liver Transplant Unit of the A.O.R.N. A. Cardarelli of Naples 40 patients affected by hepatic trauma. In our retrospective study, we review our experience and propose portal vein ligation (PVL) as a first – line strategy for damage control surgery (DCS) in liver trauma.Results26/40 patients (65%) which received gauze-packing represented our study group. In 10 cases out of 26 patients (38,4%) the abdominal packing was enough to control the damage. In 7 cases (18,4%) we performed a liver resection. In 7 cases, after de-packing, we adopted PVL to achieve DCS. Trans Arterial Embolization was chosen in 6 patients. 2 of them were discharged 14 days later without performing any other procedure.In 3 cases we had to perform a right epatectomy in second instance. Two hepatectomies were due to hemoperitoneum, and the other for coleperitoneum. Two patients were treated in first instance by only doing hemostasis on the bleeding site. We observed 6 patients in first instance. Five of them underwent surgery with hepatic resection and surgical hemostasis of the bleeding site. The other one underwent to conservative management. In summary we performed 15 hepatic resections, 8 of them were right hepatectomies, 1 left hepatectomy, 2 trisegmentectomies V-VI-VII. So in second instance we operated on 10 patients out of 34 (30%).ConclusionsThe improved knowledge of clinical physio-pathology and the improvement of diagnostic and instrumental techniques had a great impact on the prognosis of liver trauma. We think that a rigid diagnostic protocol should be applied as this allows timely pathological finding, and consists of three successive but perfectly integrated steps: 1) patient reception, in close collaboration with the resuscitator; 2) accurate but quick diagnostic framing 3) therapeutic decisional making. Selective portal vein ligation is a well-tolerated and safe manoeuvre, which could be effective, even if not definitive, in treating these subjects. That is why we believe that it can be a choice to keep in mind especially in post-depacking bleeding.

show abstract

Changes in the Diagnosis and Therapeutic Management of Hepatic Trauma. A Retrospective Study Comparing 2 Series of Cases in Different (1997–1984 vs 2001–2008)

Cited by 3 publications

References 18 publications

AI-assisted ultrasound for early liver trauma: Animal models & clinical validation

AI-assisted ultrasound for early liver trauma: Animal models & clinical validation

Preparation and characterisation of plastic material for liver injury stress assessment model use

Management of complications of first instance of hepatic trauma in a liver surgery unit: Portal vein ligation as a conservative therapeutic strategy

Contact Info

Product

Resources

About

Changes in the Diagnosis and Therapeutic Management of Hepatic Trauma. A Retrospective Study Comparing 2 Series of Cases in Different (1997–1984 vs 2001–2008)

Cited by 3 publications

References 18 publications

AI-assisted ultrasound for early liver trauma: Animal models &amp; clinical validation

AI-assisted ultrasound for early liver trauma: Animal models &amp; clinical validation

Preparation and characterisation of plastic material for liver injury stress assessment model use

Management of complications of first instance of hepatic trauma in a liver surgery unit: Portal vein ligation as a conservative therapeutic strategy

Contact Info

Product

Resources

About

AI-assisted ultrasound for early liver trauma: Animal models & clinical validation

AI-assisted ultrasound for early liver trauma: Animal models & clinical validation