Definition
Traumatic force to the abdomen may be blunt or penetrating. Solid organs of the abdomen are different in their size, structure, and anatomic positions. These factors along with the mechanism of injury will be the main determinants of the type and severity of abdominal solid organ injury. The propensity for profuse bleeding requiring surgical intervention occurs most often with injury to the liver and spleen.
Preexisting Condition
Liver
The liver is one of the most commonly injured organs in abdominal trauma (Polanco et al. 2008). Both low- and high-grade injuries of the liver due to blunt and penetrating trauma can be successfully managed nonoperatively in the hemodynamically stable patient (Ahmed and Vernick 2011). The grade of the liver injury, although...
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ahmed N, Vernick J (2011) Management of liver trauma in adults. J Emerg Trauma Shock 4(1):114–119
Choi SB, Jiyoung Y, Choi SY (2012) A case of traumatic pancreaticoduodenal injury: a simple and an organ-preserving approach as damage control surgery. JOP 13(1):76–79
Dutton RP (2012) Resuscitative strategies to maintain homeostasis during damage control surgery. Br J Surg 99(Suppl 1):21–28
Kozar RA, McNutt M (2010) Management of adult blunt hepatic trauma. Curr Opin Crit Care 16(6):596–601
Kuan JK, Wright JL, Nathens AB, Rivara FP, Wessells H (2006) American Association for the Surgery of Trauma Organ injury Scale for kidney injuries predicts nephrectomy, dialysis, and death in patients with blunt injury and nephrectomy for penetrating injuries. J Trauma 60(2):351–356
Loy J (2008) Pediatric trauma and anesthesia in trauma anesthesia. Cambridge University Press, New York
Polanco P, Leon S, Pineda J, Puyana JC, Ochoa JB, Alarcon L, Harbrecht BG, Geller D, Peitzman AB (2008) Hepatic resection in the management of complex injury to the liver. J Trauma 65(6):1264–1270
Shoobridge K, Corcoran N, Martin K, Koukounaras J, Royce P, Bultitude M (2011) Contemporary management of renal trauma. Rev Urol 13(2):65–72
Wilson W, Patel N, Hoyt D, Murphy M (1999) Perioperative anesthetic management of patients with abdominal trauma. Anesthesiol Clin North Am 17(1):211–236
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this entry
Cite this entry
Hendren, G. (2015). Abdominal Solid Organ Injury, Anesthesia for. In: Papadakos, P.J., Gestring, M.L. (eds) Encyclopedia of Trauma Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29613-0_458
Download citation
DOI: https://doi.org/10.1007/978-3-642-29613-0_458
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-29611-6
Online ISBN: 978-3-642-29613-0
eBook Packages: MedicineReference Module Medicine