Examinando por Autor "Fajardo Cardenas, Mayra Michelle"
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Ítem Acceso Abierto Efectividad de la embolización y cirugía en el manejo del trauma hepático en adultos: revisión sistemática(Universidad Católica de Cuenca., 2025) Fajardo Cardenas, Mayra Michelle; Saquicela Espinoza, Luis Alberto; 0105803464Effectiveness of Embolization and Surgery in the Management of Liver Trauma in Adults: A Systematic Review Abstract It is estimated that at least 75% of all abdominal traumas involve damage specifically to the liver. The most common immediate intervention has always been surgery; however, in recent years, embolization has gained prominence. Objectives: To describe the effectiveness of embolization and surgery in the management of hepatic trauma in adults. Methods: A systematic literature review was conducted, reviewing different medical databases such as Elsevier, PubMed, ScienceDirect, and others. Searches were performed in English and Spanish using medical subject headings and Boolean operators such as AND and OR to optimize results. The screening was based on the PRISMA 2020 model. The quality of the articles was also assessed using the NIH tool, and bias was evaluated with the ROBINS-I tool. Results: Management with embolization showed better effectiveness records than surgeries. However, the use of each procedure depended on the severity of the injury. Mortality ranged from 12% to 15%, while complications occurred in approximately 50% of cases. Surgeries showed a higher rate of complications. Conclusions: The investigations analyzed showed high levels of study quality as well as a low risk of bias. The effectiveness of the procedures depended on the hemodynamic stability of the patient and the degree of severity of the trauma. Embolization is used in the mildest degrees. At higher severity, management has almost always been surgical. The main complications were biloma, hepatic ischemia, and pseudoaneurysm. Keywords: surgical procedures, abdominal injuries, hepatic trauma, trauma management, endovascular techniques
