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Liver trauma: WSES 2020 guidelines.

Federico Coccolini1, Raul Coimbra2, Carlos Ordonez3

  • 1General, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisia 1, 56100, Pisa, Italy. federico.coccolini@gmail.com.

World Journal of Emergency Surgery : WJES
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Summary

This paper presents the World Society of Emergency Surgery (WSES) guidelines for managing liver trauma. It emphasizes a multidisciplinary approach considering injury severity and patient status for optimal treatment strategies.

Keywords:
AdultClassificationGuidelinesHemorrhageIntensive careInterventionalLiver traumaMinorModerateNon-operative managementOperative managementPediatricRadiologySevereSurgery

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Surgical Critical Care

Background:

  • Liver injuries are common and life-threatening in trauma patients.
  • Optimal management requires assessing anatomic injury, hemodynamic status, and associated injuries.
  • Treatment may involve non-operative or operative strategies to restore homeostasis.

Purpose of the Study:

  • To present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.
  • To provide a framework for optimal liver trauma care.
  • To emphasize a multidisciplinary approach to liver trauma management.

Main Methods:

  • Guidelines development based on expert consensus and evidence review.
  • Consideration of anatomic injury, hemodynamic status, and associated injuries.
  • Multidisciplinary team involvement including surgeons, radiologists, and critical care physicians.

Main Results:

  • Established guidelines for liver trauma management.
  • Highlighted the importance of a tailored approach based on injury characteristics.
  • Stressed the necessity of a coordinated, multidisciplinary team effort.

Conclusions:

  • The WSES liver trauma guidelines offer a structured approach to patient care.
  • Effective management necessitates a comprehensive evaluation and collaborative decision-making.
  • Multidisciplinary collaboration is crucial for improving outcomes in liver trauma patients.