MultiCenter Study of Intra-Abdominal Abscess Formation After Major Operative Hepatic Trauma

One of the significant complications of operative liver trauma is intra-abdominal abscesses (IAA). The objective of this study was to determine risk factors associated with postoperative IAA in surgical patients with major operative liver trauma. A retrospective multi-institutional study was perform...

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Bibliographic Details
Published in:The Journal of surgical research 2024-03, Vol.295, p.746-752
Main Authors: Smith, Alison A., Cone, Jennifer T., McNickle, Allison G., Mitchao, Delbrynth P., Kostka, Ryan, Martinez, Benjamin, Schroeppel, Thomas, Cavalea, Alexander, Shahan, Charles Patrick, Axtman, Benjamin, Braverman, Maxwell A., Zorrilla, Alexander, Hoefer, Lea, Fraser, Douglas R., Inaba, Kenji, Mooney, Jennifer, Bjordahl, Paul, Dammann, Kyle, Samra, Navdeep
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Abscess - epidemiology
Abdominal Abscess - etiology
Abdominal Cavity
Abdominal Injuries - complications
Abdominal Injuries - surgery
Adult
Humans
Injury Severity Score
Intra-abdominal abscess
Liver - injuries
Liver - surgery
Liver trauma
Management
Operative
Retrospective Studies
Trauma Centers
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Summary:One of the significant complications of operative liver trauma is intra-abdominal abscesses (IAA). The objective of this study was to determine risk factors associated with postoperative IAA in surgical patients with major operative liver trauma. A retrospective multi-institutional study was performed at 13 Level 1 and Level 2 trauma centers from 2012 to 2021. Adult patients with major liver trauma (grade 3 and higher) requiring operative management were enrolled. Univariate and multivariate analyses were performed. Three hundred seventy-two patients were included with 21.2% (n = 79/372) developing an IAA. No difference was found for age, gender, injury severity score, liver injury grade, and liver resections in patients between the groups (P > 0.05). Penetrating mechanism of injury (odds ratio (OR) 3.42, 95% confidence interval (CI) 1.54-7.57, P = 0.02), intraoperative massive transfusion protocol (OR 2.43, 95% CI 1.23-4.79, P = 0.01), biloma/bile leak (OR 2.14, 95% CI 1.01-4.53, P = 0.04), hospital length of stay (OR 1.04, 95% CI 1.02-1.06, P 
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2023.11.010