Mesh wrapping for severe hepatic injury: a beneficial option in the trauma surgeon's armamentarium Journal Article

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Authors: Kennedy, R.; Brevard, S. B.; Bosarge, P.; Simmons, J. D.; Frotan, M. A.; Baker, J. A.; Tuart, L.; Pritchett, C.; Gonzalez, R. P.
Article Title: Mesh wrapping for severe hepatic injury: a beneficial option in the trauma surgeon's armamentarium
Abstract: BACKGROUND: The purpose of this study was to assess the efficacy of absorbable mesh wrapping (MW) versus perihepatic packing (HP) for severe hepatic injury. METHODS: From January 2001 to December 2012, data were collected for MW patients with hepatic injury. Patients who underwent HP were matched with MW patients by injury mechanism, liver injury grade, Injury Severity Score, and age. RESULTS: Twenty-six MW and twenty-six HP patients were matched. Eighteen blunt and 8 penetrating injuries were present in each group. There were 9 (35%) mortalities in the MW group and 16 (62%) in the HP groups (P = .03). Average transfusions were 12.0 and 24.5 (P = .03) packed red blood cells in the MW and HP groups, respectively. Average laparotomies per survivors were 1.3 for the MW and 3.1 for the HP groups (P = .01). Average length of stay for survivors was 19 and 47 (P = .04) days in the MW and HP groups, respectively. CONCLUSION: MW for hepatic injuries can significantly decrease mortality, transfusions, laparotomies, and length of stay.
Journal Title: American Journal of Surgery
Volume: 209
Issue: 3
ISSN: 1879-1883; 0002-9610
Publisher: Elsevier Inc  
Journal Place: United States
Date Published: 2015
Start Page: 515
End Page: 520
Language: eng
DOI/URL:

10.1016/j.amjsurg.2014.12.006
Notes: CI: Copyright (c) 2015; JID: 0370473; OTO: NOTNLM; 2014/07/20 [received]; 2014/12/11 [revised]; 2014/12/11 [accepted]; 2014/12/20 [aheadofprint]; ppublish
LUC Authors
  1. Richard Gonzalez
    21 Gonzalez
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