Hepatic Trauma: Evaluation of Routine Drainage

Richard Mullins, H. Harlan Stone, William E. Dunlop, Priscilla R. Strom

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Routine drainage of liver wounds created by trauma has recently been challenged, prompting a prospective, randomized trial of drainage via a Penrose dam versus no drain in patients having emergency laparotomy for abdominal trauma. We excluded cases in which definite bile leak was noted at operation. Of 167 patients studied, six had obligatory drainage because of obvious bile leak. Among the remaining 161 patients, there was no significant difference as to demographics, mode of injury, volume of blood lost or used for resuscitation, incidence and severity of shock, number and types of associated injuries, or magnitude of liver wound between the 78 allocated to drainage and the 83 left without a drain. Resultant mortality, duration of hospitalization, incidence of wound and/or intra-abdominal infection, and likelihood of subsequent bile fistula were not different. Such data support the routine use of a drain only if bile leakage from the liver wound is found at laparotomy. Without obvious bile leak, drainage of a specific liver injury does not appear to be necessary.

Original languageEnglish (US)
Pages (from-to)259-261
Number of pages3
JournalSouthern Medical Journal
Volume78
Issue number3
StatePublished - 1985
Externally publishedYes

Fingerprint

Drainage
Liver
Wounds and Injuries
Bile
Laparotomy
Intraabdominal Infections
Incidence
Blood Volume
Resuscitation
Fistula
Shock
Hospitalization
Emergencies
Demography
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mullins, R., Harlan Stone, H., Dunlop, W. E., & Strom, P. R. (1985). Hepatic Trauma: Evaluation of Routine Drainage. Southern Medical Journal, 78(3), 259-261.

Hepatic Trauma : Evaluation of Routine Drainage. / Mullins, Richard; Harlan Stone, H.; Dunlop, William E.; Strom, Priscilla R.

In: Southern Medical Journal, Vol. 78, No. 3, 1985, p. 259-261.

Research output: Contribution to journalArticle

Mullins, R, Harlan Stone, H, Dunlop, WE & Strom, PR 1985, 'Hepatic Trauma: Evaluation of Routine Drainage', Southern Medical Journal, vol. 78, no. 3, pp. 259-261.
Mullins R, Harlan Stone H, Dunlop WE, Strom PR. Hepatic Trauma: Evaluation of Routine Drainage. Southern Medical Journal. 1985;78(3):259-261.
Mullins, Richard ; Harlan Stone, H. ; Dunlop, William E. ; Strom, Priscilla R. / Hepatic Trauma : Evaluation of Routine Drainage. In: Southern Medical Journal. 1985 ; Vol. 78, No. 3. pp. 259-261.
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