2010
Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT)
Velmahos GC, Zacharias N, Emhoff TA, Feeney JM, Hurst JM, Crookes BA, Harrington DT, Gregg SC, Brotman S, Burke PA, Davis KA, Gupta R, Winchell RJ, Desjardins S, Alouidor R, Gross RI, Rosenblatt MS, Schulz JT, Chang Y. Management of the Most Severely Injured Spleen: A Multicenter Study of the Research Consortium of New England Centers for Trauma (ReCONECT). JAMA Surgery 2010, 145: 456-460. PMID: 20479344, DOI: 10.1001/archsurg.2010.58.Peer-Reviewed Original ResearchConceptsBlunt splenic injuryFailure of NOMNonoperative managementGrade IVF-NOMBrain injurySevere blunt splenic injuryTrial of NOMOverall high success rateMortality of patientsRetrospective case seriesSuccessful nonoperative managementPredictors of failureRequire surgerySplenic injuryAdult patientsIndependent predictorsCase seriesTrauma centerMulticenter studyHigh success ratePatientsMultivariate analysisInjurySuccess rate
2001
Multiinstitutional experience with the management of superior mesenteric artery injuries1 1No competing interests declared.
Asensio J, Britt L, Borzotta A, Peitzman A, Miller F, Mackersie R, Pasquale M, Pachter H, Hoyt D, Rodriguez J, Falcone R, Davis K, Anderson J, Ali J, Chan L. Multiinstitutional experience with the management of superior mesenteric artery injuries1 1No competing interests declared. Journal Of The American College Of Surgeons 2001, 193: 354-365. PMID: 11584962, DOI: 10.1016/s1072-7515(01)01044-4.Peer-Reviewed Original ResearchConceptsAbdominal vascular injuriesIndependent risk factorIschemia gradeInjury Severity ScoreVascular injuryRisk factorsSMA injuryAnatomic zonesSurgical managementMultiinstitutional experienceGrade IVHigher intraoperative transfusion requirementsMean Injury Severity ScoreSuperior mesenteric artery injuryTrauma Organ Injury ScalePresence of acidosisRetrospective multiinstitutional studyMultisystem organ failureLogistic regression analysisStepwise logistic regressionSubsequent multivariate analysisAAST-OISIntraoperative acidosisTransfusion requirementsArtery injury