Liver trauma: WSES 2020 guidelines

World J Emerg Surg. 2020 Mar 30;15(1):24. doi: 10.1186/s13017-020-00302-7.


Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.

Keywords: Adult; Classification; Guidelines; Hemorrhage; Intensive care; Interventional; Liver trauma; Minor; Moderate; Non-operative management; Operative management; Pediatric; Radiology; Severe; Surgery.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Abdominal Injuries / surgery*
  • Evidence-Based Medicine
  • Hemodynamics / physiology
  • Humans
  • Injury Severity Score
  • Liver / injuries*
  • Patient Care Management / methods*