{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:04:51Z","timestamp":1787321091792,"version":"build-2736575974"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1986,9,1]],"date-time":"1986-09-01T00:00:00Z","timestamp":525916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1986,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This is a report of a study of 63 cases of penetrating liver injuries. Forty-two patients (67 per cent) who presented with signs of an acute abdomen were operated on. The liver was routinely sutured and drained. There was no incidence of postoperative intra-abdominal sepsis or haematobilia. In the remaining 21 patients (33 per cent) liver involvement was suggested by the fact that the wound was over the liver region, and penetrated the peritoneum, and abdominal paracentesis for blood was positive or the patient was shocked or pale. The patients in this group had a soft abdomen and they were treated conservatively with observation and blood transfusions if necessary. No complications were recorded in this group. It is concluded that many civilian penetrating injuries of the liver may be managed non-surgically. If an operative approach is selected suturing of the liver with drainage is the recommended procedure.<\/jats:p>","DOI":"10.1002\/bjs.1800730919","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T02:57:32Z","timestamp":1172890652000},"page":"736-737","source":"Crossref","is-referenced-by-count":51,"title":["Non-operative management of penetrating liver injuries: A prospective study"],"prefix":"10.1093","volume":"73","author":[{"given":"D","family":"Demetriades","sequence":"first","affiliation":[{"name":"Department of Surgery, Baragwanath Hospital, University of the Witwatersrand , Johannesburg,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Rabinowitz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baragwanath Hospital, University of the Witwatersrand , Johannesburg,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Sofianos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baragwanath Hospital, University of the Witwatersrand , Johannesburg,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1986,9,1]]},"reference":[{"key":"2024092718471457100_bib1","first-page":"507","article-title":"Non-operative management of intrahepatic haemorrhage and haematoma following blunt trauma","volume":"148","author":"Lambeth","year":"1979","journal-title":"Surg Gynecol Obstet"},{"key":"2024092718471457100_bib2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1002\/bjs.1800690703","article-title":"Twenty-six cases of liver trauma","volume":"69","author":"Calne","year":"1982","journal-title":"Br J Surg"},{"key":"2024092718471457100_bib3","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1001\/archsurg.1976.01360220189033","article-title":"Management of 1590 consecutive cases of liver trauma","volume":"111","author":"Defore","year":"1976","journal-title":"Arch Surg"},{"key":"2024092718471457100_bib4","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1097\/00005373-197806000-00004","article-title":"Surgical restraint in the management of hepatic injury: a review of Charity Hospital experience","volume":"18","author":"Levin","year":"1978","journal-title":"J Trauma"},{"key":"2024092718471457100_bib5","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1097\/00005373-197806000-00003","article-title":"The value of peritoneal drains in the treatment of liver injuries","volume":"18","author":"Fischer","year":"1978","journal-title":"J Trauma"},{"key":"2024092718471457100_bib6","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1002\/bjs.1800710204","article-title":"Selective conservative management of penetrating abdominal wounds: a prospective study","volume":"71","author":"Demetriades","year":"1984","journal-title":"Br J Surg"},{"key":"2024092718471457100_bib7","first-page":"201","article-title":"The hazards of suturing certain wounds of the liver","volume":"143","author":"Mays","year":"1976","journal-title":"Surg Gynecol Obstet"},{"key":"2024092718471457100_bib8","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/0002-9610(76)90041-6","article-title":"Prevention of complications after liver trauma","volume":"132","author":"Lim","year":"1976","journal-title":"Am J Surg"},{"key":"2024092718471457100_bib9","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1002\/bjs.1800660512","article-title":"The treatment of major liver trauma by primary packing with transfer of the patient for definitive treatment","volume":"66","author":"Calne","year":"1976","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800730919","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/73\/9\/736\/59382452\/bjs1800730919.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/73\/9\/736\/59382452\/bjs1800730919.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T14:47:31Z","timestamp":1727448451000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/73\/9\/736\/6182048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,9,1]]},"references-count":9,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1986,9,1]]},"published-print":{"date-parts":[[1986,9,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800730919","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1986,9]]},"published":{"date-parts":[[1986,9,1]]}}}