Correspondencia: Pinar de Doña Consuelo, 81. Urbanización Huerta Vieja. 28220 Majadahonda. Madrid. España
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"documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Cir Esp. 2004;76:127-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4855 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 3794 "PDF" => 1052 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Avanzar hacia el quirófano del futuro" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "127" "paginaFinal" => "129" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Carlos, Ruiz de Adana" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Carlos" ] 1 => array:2 [ "nombre" => "Ruiz" "apellidos" => "de Adana" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X04789514?idApp=UINPBA00004N" "url" => "/0009739X/0000007600000003/v1_201307101451/S0009739X04789514/v1_201307101451/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Tratamiento no operatorio del traumatismo hepático cerrado. Criterios de selección y seguimiento" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "130" "paginaFinal" => "141" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José María Jover Navalón, José Luis Ramos Rodríguez, Soledad Montón, José Ceballos Esparragón" "autores" => array:4 [ 0 => array:4 [ "nombre" => "José" "apellidos" => "María Jover Navalón" "email" => array:1 [ 0 => "josemjover@jazzfree.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "José" "apellidos" => "Luis Ramos Rodríguez" ] 2 => array:2 [ "nombre" => "Soledad" "apellidos" => "Montón" ] 3 => array:2 [ "nombre" => "José" "apellidos" => "Ceballos Esparragón" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Politraumatismos y Cuidados Intensivos Quirúrgicos. Asociación Española de Cirujanos. Majadahonda. Madrid. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Pinar de Doña Consuelo, 81. Urbanización Huerta Vieja. 28220 Majadahonda. Madrid. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nonoperative management of blunt liver trauma. selection and follow-up criteria" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-01-08" "fechaAceptado" => "2004-05-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec199213" "palabras" => array:3 [ 0 => "Traumatismo hepático" 1 => "Hemoperitoneo" 2 => "Embolización hepática" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec199212" "palabras" => array:3 [ 0 => "Blunt liver trauma" 1 => "Hemoperitoneum" 2 => "Hepatic embolization" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento conservador no operatorio se ha convertido en la actualidad en la mejor opción terapéutica de la mayoría de los traumatismos hepáticos cerrados en pacientes hemodinámicamente estables. Sin embargo, todavía hay dudas acerca de qué pacientes deben ser tratados de forma conservadora, si se puede predecir el fallo del tratamiento antes de que aparezcan las complicaciones y cómo debe hacerse el seguimiento de estos pacientes.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El presente estudio de revisión trata de establecer los criterios de selección de los pacientes teniendo en cuenta su estabilidad hemodinámica, su integridad neurológica, la presencia de signos peritoneales, el grado de la lesión, la posibilidad de controlar adecuadamente a los pacientes, la cantidad de hemoperitoneo, la cantidad de transfusión sanguínea, la presencia de lesiones asociadas, la calidad de la tomografía computarizada, la ausencia de hemorragia activa, la edad, la terapia anticoagulante y la etiología del traumatismo.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la actualidad se dispone de suficientes datos que sugieren que es razonable realizar un tratamiento no operatorio de los traumatismos hepáticos cerrados tras haberse demostrado su eficacia en diferentes estudios, lo que en muchas ocasiones evita una laparotomía en blanco y precisa una menor cantidad de transfusión sanguínea, así como una estancia hospitalaria y en la unidad de cuidados intensivos (UCI) más reducida.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se revisa también el control y el seguimiento de los pacientes y se discute cuánto tiempo deben permanecer en la UCI, ingresados, en cama o sin hacer ninguna actividad física importante, así como cada cuánto tiempo deben realizarse pruebas radiológicas.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En pacientes estables, la mayoría de los traumatismos hepáticos cerrados pueden ser tratados de forma conservadora con una baja morbimortalidad.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Currently, nonoperative conservative management is the best therapeutic option in most blunt liver trauma in hemodynamically stable patients. However, there are still doubts concerning whether patients should be managed conservatively, whether treatment failure can be predicted before the onset of complications and how these patients should be followed-up.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The present review aims to establish patient selection criteria, taking into account their hemodynamic stability, neurological integrity, the presence or absence of peritoneal signs, grade of lesion, the possibility of adequate monitoring, quantity of hemoperitoneum, quantity of blood transfusion, the presence of associated lesions, computed tomography quality, absence of active hemorrhage, age, anticoagulant therapy and cause of trauma.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Currently, there are sufficient data to suggest that nonoperative management of blunt liver trauma is a reasonable option. Several studies have demonstrated the efficacy of this modality, which can often avoid negative findings on laparotomy and can reduce blood transfusion requirements and length of hospital and intensive care unit (ICU) stay.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The monitoring and follow-up of patients are also reviewed. The length of time that patients should stay in the ICU and hospital, in bed or without significant physical activity and the frequency with which radiological tests should be performed are discussed.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In stable patients, most blunt liver trauma can be managed conservatively with low morbidity and mortality.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:120 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critical decisions in liver trauma. Experience based on 604 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ …2] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1970" "volumen" => "101" "paginaInicial" => "277" "paginaFinal" => "283" "link" => array:1 [ 0 => array:2 [ …2] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Liver trauma: current method of management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ …3] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1972" "volumen" => "104" "paginaInicial" => "544" "paginaFinal" => "550" "link" => array:1 [ 0 => array:2 [ …2] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lobectomy, sublobar resection, and resectional debridement for severe liver injuries" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ …1] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1972" "volumen" => "12" "paginaInicial" => "309" "paginaFinal" => "314" "link" => array:1 [ …1] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hepatic trauma: pitfalls in management" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1977" "volumen" => "112" "paginaInicial" => "157" "paginaFinal" => "161" "link" => array:1 [ …1] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anatomic resection for severe liver trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surgery" "fecha" => "1998" "volumen" => "123" "paginaInicial" => "251" "paginaFinal" => "257" "link" => array:1 [ …1] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Notes on the arrest of hepatic hemorrhage due to trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1908" "volumen" => "48" "paginaInicial" => "541" "paginaFinal" => "548" "link" => array:1 [ …1] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgery of the liver" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA" "fecha" => "1902" "volumen" => "38" "paginaInicial" => "1063" "paginaFinal" => "1968" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The progress of liver hemostasis: report of cases (resection, sutures, etc." "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Surg Gynecol Obstet" "fecha" => "1906" "volumen" => "2" "paginaInicial" => "52" "paginaFinal" => "61" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subcapsular hematoma of the liver. Nonoperative management" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1972" "volumen" => "104" "paginaInicial" => "781" "paginaFinal" => "784" "link" => array:1 [ …1] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Liver trauma: conservative management and the liver scan" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1974" "volumen" => "108" "paginaInicial" => "184" "paginaFinal" => "186" "link" => array:1 [ …1] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt hepatic trauma in adults: CT-based classification and correlation with prognosis and treatment" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.171.1.2928537" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1989" "volumen" => "171" "paginaInicial" => "27" "paginaFinal" => "32" "link" => array:1 [ …1] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of blunt hepatic trauma in adults" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surgery" "fecha" => "1988" "volumen" => "104" "paginaInicial" => "748" "paginaFinal" => "756" "link" => array:1 [ …1] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of major blunt liver injury with hemoperitoneum" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1990" "volumen" => "125" "paginaInicial" => "101" "paginaFinal" => "103" "link" => array:1 [ …1] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt hepatic trauma. Nonoperative management in adults" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1990" "volumen" => "125" "paginaInicial" => "905" "paginaFinal" => "908" "link" => array:1 [ …1] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of blunt liver injuries in adults: the need for continued surveillance" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1990" "volumen" => "30" "paginaInicial" => "1494" "paginaFinal" => "1500" "link" => array:1 [ …1] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Significant trends in the treatment of hepatic trauma. Experience with 411 injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1992" "volumen" => "215" "paginaInicial" => "492" "paginaFinal" => "500" "link" => array:1 [ …1] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of blunt hepatic injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1992" "volumen" => "164" "paginaInicial" => "477" "paginaFinal" => "481" "link" => array:1 [ …1] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complications of nonoperative management of blunt hepatic injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1992" "volumen" => "32" "paginaInicial" => "308" "paginaFinal" => "314" "link" => array:1 [ …1] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of adult blunt hepatic trauma in a municipal trauma center" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Surg" "fecha" => "1992" "volumen" => "58" "paginaInicial" => "551" "paginaFinal" => "555" "link" => array:1 [ …1] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-operative management of blunt liver injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "1991" "volumen" => "78" "paginaInicial" => "968" "paginaFinal" => "972" "link" => array:1 [ …1] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic retrograde cholangiography in the nonsurgical management of blunt liver injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1993" "volumen" => "35" "paginaInicial" => "192" "paginaFinal" => "199" "link" => array:1 [ …1] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of blunt hepatic injuries: safe at any grade?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1994" "volumen" => "37" "paginaInicial" => "616" "paginaFinal" => "621" "link" => array:1 [ …1] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt liver trauma in children: nonoperative management" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1985" "volumen" => "20" "paginaInicial" => "14" "paginaFinal" => "18" "link" => array:1 [ …1] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt liver injury in childhood: evolution of therapy and current perspective" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surgery" "fecha" => "1986" "volumen" => "100" "paginaInicial" => "542" "paginaFinal" => "549" "link" => array:1 [ …1] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evolution of management of major hepatic trauma: identification of patterns of injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1995" "volumen" => "39" "paginaInicial" => "344" "paginaFinal" => "350" "link" => array:1 [ …1] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of blunt hepatic trauma: the exception or the rule?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1994" "volumen" => "36" "paginaInicial" => "529" "paginaFinal" => "534" "link" => array:1 [ …1] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1995" "volumen" => "221" "paginaInicial" => "744" "paginaFinal" => "753" "link" => array:1 [ …1] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0140" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trends in the management of hepatic injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1997" "volumen" => "174" "paginaInicial" => "674" "paginaFinal" => "677" "link" => array:1 [ …1] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0145" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1996" "volumen" => "40" "paginaInicial" => "31" "paginaFinal" => "38" "link" => array:1 [ …1] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0150" "etiqueta" => "30." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Continuing evolution in the approach to severe liver trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1992" "volumen" => "216" "paginaInicial" => "521" "paginaFinal" => "523" "link" => array:1 [ …1] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0155" "etiqueta" => "31." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative treatment of blunt trauma to liver and spleen" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Chir Scand" "fecha" => "1986" "volumen" => "152" "paginaInicial" => "739" "paginaFinal" => "741" "link" => array:1 [ …1] ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib0160" "etiqueta" => "32." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Isolated blunt liver trauma: is nonoperative treatment justified?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1992" "volumen" => "27" "paginaInicial" => "466" "paginaFinal" => "468" "link" => array:1 [ …1] ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib0165" "etiqueta" => "33." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical restraint in the management of liver trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "1991" "volumen" => "78" "paginaInicial" => "1071" "paginaFinal" => "1075" "link" => array:1 [ …1] ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib0170" "etiqueta" => "34." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complex hepatic injuries [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg Clin North Am" "fecha" => "1996" "volumen" => "76" "paginaInicial" => "763" "paginaFinal" => "782" "link" => array:1 [ …1] ] ] ] ] ] ] 34 => array:3 [ "identificador" => "bib0175" "etiqueta" => "35." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Negative findings on laparotomy for trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "South Med J" "fecha" => "1989" "volumen" => "82" "paginaInicial" => "1231" "paginaFinal" => "1234" "link" => array:1 [ …1] ] ] ] ] ] ] 35 => array:3 [ "identificador" => "bib0180" "etiqueta" => "36." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The current status of nonoperative management of adult blunt hepatic injuries [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1995" "volumen" => "169" "paginaInicial" => "442" "paginaFinal" => "454" "link" => array:1 [ …1] ] ] ] ] ] ] 36 => array:3 [ "identificador" => "bib0185" "etiqueta" => "37." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evolution in the management of hepatic trauma: a 25-year perspective" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "2000" "volumen" => "232" "paginaInicial" => "324" "paginaFinal" => "330" "link" => array:1 [ …1] ] ] ] ] ] ] 37 => array:3 [ "identificador" => "bib0190" "etiqueta" => "38." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of blunt hepatic trauma [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.1365-2168.1998.00721.x" "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "1998" "volumen" => "85" "paginaInicial" => "461" "paginaFinal" => "468" "link" => array:1 [ …1] ] ] ] ] ] ] 38 => array:3 [ "identificador" => "bib0195" "etiqueta" => "39." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "2000" "volumen" => "231" "paginaInicial" => "804" "paginaFinal" => "813" "link" => array:1 [ …1] ] ] ] ] ] ] 39 => array:3 [ "identificador" => "bib0200" "etiqueta" => "40." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selective nonoperative management of blunt liver injury using computed tomography" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1985" "volumen" => "120" "paginaInicial" => "550" "paginaFinal" => "554" "link" => array:1 [ …1] ] ] ] ] ] ] 40 => array:3 [ "identificador" => "bib0205" "etiqueta" => "41." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hepatic trauma and its management [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Injury" "fecha" => "1991" "volumen" => "22" "paginaInicial" => "439" "paginaFinal" => "445" "link" => array:1 [ …1] ] ] ] ] ] ] 41 => array:3 [ "identificador" => "bib0210" "etiqueta" => "42." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Die traumatischen verletzungen der parenchymatosen unterlicborgane" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Arch Surg Chir" "fecha" => "1986-1987" "volumen" => "34" "paginaInicial" => "343" ] ] ] ] ] ] 42 => array:3 [ "identificador" => "bib0215" "etiqueta" => "43." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The nonoperative management of pediatric hepatic trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1983" "volumen" => "18" "paginaInicial" => "512" "paginaFinal" => "518" "link" => array:1 [ …1] ] ] ] ] ] ] 43 => array:3 [ "identificador" => "bib0220" "etiqueta" => "44." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "AAST organ injury scale: correlation of CT-graded liver injuries and operative findings" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1991" "volumen" => "31" "paginaInicial" => "806" "paginaFinal" => "812" "link" => array:1 [ …1] ] ] ] ] ] ] 44 => array:3 [ "identificador" => "bib0225" "etiqueta" => "45." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Poth lecture. Critical decisions in the management of hepatic trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1984" "volumen" => "148" "paginaInicial" => "712" "paginaFinal" => "716" "link" => array:1 [ …1] ] ] ] ] ] ] 45 => array:3 [ "identificador" => "bib0230" "etiqueta" => "46." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Computed tomography and diagnostic peritoneal lavage. Complementary roles in blunt trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Surg" "fecha" => "1992" "volumen" => "58" "paginaInicial" => "44" "paginaFinal" => "48" "link" => array:1 [ …1] ] ] ] ] ] ] 46 => array:3 [ "identificador" => "bib0235" "etiqueta" => "47." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influencia de la aplicación de un protocolo de actuación en el tratamiento de los traumatismos abdominales cerrados" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Cir Esp" "fecha" => "2002" "volumen" => "72" "paginaInicial" => "79" "paginaFinal" => "83" ] ] ] ] ] ] 47 => array:3 [ "identificador" => "bib0240" "etiqueta" => "48." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evolution in the treatment of complex blunt liver injuries [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1067/msg.2001.110096" "Revista" => array:6 [ "tituloSerie" => "Curr Probl Surg" "fecha" => "2001" "volumen" => "38" "paginaInicial" => "1" "paginaFinal" => "60" "link" => array:1 [ …1] ] ] ] ] ] ] 48 => array:3 [ "identificador" => "bib0245" "etiqueta" => "49." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A statewide, population-based time-series analysis of the increasing frequency of nonoperative management of abdominal solid organ injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1995" "volumen" => "222" "paginaInicial" => "311" "paginaFinal" => "322" "link" => array:1 [ …1] ] ] ] ] ] ] 49 => array:3 [ "identificador" => "bib0250" "etiqueta" => "50." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A 10-year experience of complex liver trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.1365-2168.2002.02272.x" "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "2002" "volumen" => "89" "paginaInicial" => "1532" "paginaFinal" => "1537" "link" => array:1 [ …1] ] ] ] ] ] ] 50 => array:3 [ "identificador" => "bib0255" "etiqueta" => "51." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/archsurg.138.5.475" "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "2003" "volumen" => "138" "paginaInicial" => "475" "paginaFinal" => "480" "link" => array:1 [ …1] ] ] ] ] ] ] 51 => array:3 [ "identificador" => "bib0260" "etiqueta" => "52." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of splenic and hepatic trauma in the multiply injured pediatric and adolescent patient" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1995" "volumen" => "130" "paginaInicial" => "332" "paginaFinal" => "338" "link" => array:1 [ …1] ] ] ] ] ] ] 52 => array:3 [ "identificador" => "bib0265" "etiqueta" => "53." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evolution in the management of the complex liver injury at a level I trauma center" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1998" "volumen" => "45" "paginaInicial" => "79" "paginaFinal" => "82" "link" => array:1 [ …1] ] ] ] ] ] ] 53 => array:3 [ "identificador" => "bib0270" "etiqueta" => "54." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selective nonoperative management of liver and spleen injuries in neurologically impaired adult patients [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1996" "volumen" => "131" "paginaInicial" => "309" "paginaFinal" => "315" "link" => array:1 [ …1] ] ] ] ] ] ] 54 => array:3 [ "identificador" => "bib0275" "etiqueta" => "55." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Associated head injury should not prevent nonoperative management of spleen or liver injury in children" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1996" "volumen" => "41" "paginaInicial" => "471" "paginaFinal" => "475" "link" => array:1 [ …1] ] ] ] ] ] ] 55 => array:3 [ "identificador" => "bib0280" "etiqueta" => "56." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Defining the role of computed tomography in blunt abdominal trauma: use in the hemodynamically stable patient with a depressed level of consciousness" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "2002" "volumen" => "137" "paginaInicial" => "1029" "paginaFinal" => "1032" "link" => array:1 [ …1] ] ] ] ] ] ] 56 => array:3 [ "identificador" => "bib0285" "etiqueta" => "57." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial" "autores" => array:1 [ 0 => array:3 [ …3] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.TA.0000046256.80836.AA" "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "2003" "volumen" => "54" "paginaInicial" => "295" "paginaFinal" => "306" "link" => array:1 [ …1] ] ] ] ] ] ] 57 => array:3 [ "identificador" => "bib0290" "etiqueta" => "58." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of subcapsular hematomas of the liver" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1980" "volumen" => "140" "paginaInicial" => "852" "paginaFinal" => "857" "link" => array:1 [ …1] ] ] ] ] ] ] 58 => array:3 [ "identificador" => "bib0295" "etiqueta" => "59." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The fate of unruptured intrahepatic hematomas" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surgery" "fecha" => "1981" "volumen" => "90" "paginaInicial" => "689" "paginaFinal" => "697" "link" => array:1 [ …1] ] ] ] ] ] ] 59 => array:3 [ "identificador" => "bib0300" "etiqueta" => "60." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Liver trauma: a 10-year experience" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "1992" "volumen" => "79" "paginaInicial" => "1352" "paginaFinal" => "1356" "link" => array:1 [ …1] ] ] ] ] ] ] 60 => array:3 [ "identificador" => "bib0305" "etiqueta" => "61." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical analysis of the utility of repeat computed tomographic scan before discharge in blunt hepatic injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1996" "volumen" => "41" "paginaInicial" => "821" "paginaFinal" => "824" "link" => array:1 [ …1] ] ] ] ] ] ] 61 => array:3 [ "identificador" => "bib0310" "etiqueta" => "62." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interventional techniques are useful adjuncts in nonoperative management of hepatic injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1999" "volumen" => "46" "paginaInicial" => "619" "paginaFinal" => "622" "link" => array:1 [ …1] ] ] ] ] ] ] 62 => array:3 [ "identificador" => "bib0315" "etiqueta" => "63." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selective hepatic arterial embolization of grade IV and V blunt hepatic injuries: an extension of resuscitation in the nonoperative management of traumatic hepatic injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1998" "volumen" => "45" "paginaInicial" => "353" "paginaFinal" => "358" "link" => array:1 [ …1] ] ] ] ] ] ] 63 => array:3 [ "identificador" => "bib0320" "etiqueta" => "64." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Delayed surgery and interventional procedures in complex liver injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Trauma" "fecha" => "1999" "volumen" => "46" "paginaInicial" => "978" "link" => array:1 [ …1] ] ] ] ] ] ] 64 => array:3 [ "identificador" => "bib0325" "etiqueta" => "65." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Morbidity and mortality in hepatic trauma. A 5 year study" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1982" "volumen" => "144" "paginaInicial" => "88" "paginaFinal" => "94" "link" => array:1 [ …1] ] ] ] ] ] ] 65 => array:3 [ "identificador" => "bib0330" "etiqueta" => "66." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hemoperitoneum studied by computed tomography" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.148.1.6856833" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1983" "volumen" => "148" "paginaInicial" => "187" "paginaFinal" => "192" "link" => array:1 [ …1] ] ] ] ] ] ] 66 => array:3 [ "identificador" => "bib0335" "etiqueta" => "67." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of blunt hepatic injuries: role of CT" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.164.3.3615861" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1987" "volumen" => "164" "paginaInicial" => "635" "paginaFinal" => "638" "link" => array:1 [ …1] ] ] ] ] ] ] 67 => array:3 [ "identificador" => "bib0340" "etiqueta" => "68." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt hepatic and splenic trauma in children: correlation of a CT injury severity scale with clinical outcome" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Radiol" "fecha" => "1995" "volumen" => "25" "paginaInicial" => "321" "paginaFinal" => "325" "link" => array:1 [ …1] ] ] ] ] ] ] 68 => array:3 [ "identificador" => "bib0345" "etiqueta" => "69." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Delay in diagnosing gastrointestinal injury after blunt abdominal trauma in children" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Can J Surg" "fecha" => "1985" "volumen" => "28" "paginaInicial" => "138" "paginaFinal" => "140" "link" => array:1 [ …1] ] ] ] ] ] ] 69 => array:3 [ "identificador" => "bib0350" "etiqueta" => "70." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of blunt duodenal injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg Gynecol Obstet" "fecha" => "1971" "volumen" => "132" "paginaInicial" => "7" "paginaFinal" => "14" "link" => array:1 [ …1] ] ] ] ] ] ] 70 => array:3 [ "identificador" => "bib0355" "etiqueta" => "71." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The surgical management of duodenal trauma. Precepts based on a review of 247 cases" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1980" "volumen" => "115" "paginaInicial" => "422" "paginaFinal" => "429" "link" => array:1 [ …1] ] ] ] ] ] ] 71 => array:3 [ "identificador" => "bib0360" "etiqueta" => "72." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selection of nonoperative management candidates [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "World J Surg" "fecha" => "2001" "volumen" => "25" "paginaInicial" => "1389" "paginaFinal" => "1392" "link" => array:1 [ …1] ] ] ] ] ] ] 72 => array:3 [ "identificador" => "bib0365" "etiqueta" => "73." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gastrointestinal disruption: the hazard of nonoperative management in adults with blunt abdominal injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1988" "volumen" => "28" "paginaInicial" => "1445" "paginaFinal" => "1449" "link" => array:1 [ …1] ] ] ] ] ] ] 73 => array:3 [ "identificador" => "bib0370" "etiqueta" => "74." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic retrograde cholangiography in the nonsurgical management of blunt liver injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1993" "volumen" => "35" "paginaInicial" => "192" "paginaFinal" => "199" "link" => array:1 [ …1] ] ] ] ] ] ] 74 => array:3 [ "identificador" => "bib0375" "etiqueta" => "75." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Injuries associated with splenic trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1981" "volumen" => "21" "paginaInicial" => "840" "paginaFinal" => "847" "link" => array:1 [ …1] ] ] ] ] ] ] 75 => array:3 [ "identificador" => "bib0380" "etiqueta" => "76." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The injured spleen: should consideration be given to conservative management?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aust N Z J Surg" "fecha" => "1984" "volumen" => "54" "paginaInicial" => "129" "paginaFinal" => "135" "link" => array:1 [ …1] ] ] ] ] ] ] 76 => array:3 [ "identificador" => "bib0385" "etiqueta" => "77." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Major bowel and diaphragmatic injuries associated with blunt spleen or liver rupture" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1988" "volumen" => "28" "paginaInicial" => "1317" "paginaFinal" => "1321" "link" => array:1 [ …1] ] ] ] ] ] ] 77 => array:3 [ "identificador" => "bib0390" "etiqueta" => "78." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Visceral injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "1992" "volumen" => "127" "paginaInicial" => "687" "paginaFinal" => "693" "link" => array:1 [ …1] ] ] ] ] ] ] 78 => array:3 [ "identificador" => "bib0395" "etiqueta" => "79." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt intestinal trauma. A modern-day review" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1985" "volumen" => "201" "paginaInicial" => "198" "paginaFinal" => "203" "link" => array:1 [ …1] ] ] ] ] ] ] 79 => array:3 [ "identificador" => "bib0400" "etiqueta" => "80." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1997" "volumen" => "43" "paginaInicial" => "618" "paginaFinal" => "622" "link" => array:1 [ …1] ] ] ] ] ] ] 80 => array:3 [ "identificador" => "bib0405" "etiqueta" => "81." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative management" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "2002" "volumen" => "53" "paginaInicial" => "238" "paginaFinal" => "242" "link" => array:1 [ …1] ] ] ] ] ] ] 81 => array:3 [ "identificador" => "bib0410" "etiqueta" => "82." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rupture of the bowel after blunt abdominal trauma: diagnosis with CT" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.159.6.1442385" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1992" "volumen" => "159" "paginaInicial" => "1217" "paginaFinal" => "1221" "link" => array:1 [ …1] ] ] ] ] ] ] 82 => array:3 [ "identificador" => "bib0415" "etiqueta" => "83." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Performance of CT in detection of bowel injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.176.1.1760129" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "2001" "volumen" => "176" "paginaInicial" => "129" "paginaFinal" => "135" "link" => array:1 [ …1] ] ] ] ] ] ] 83 => array:3 [ "identificador" => "bib0420" "etiqueta" => "84." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of oral contrast administration for abdominal computed tomography in the evaluation of acute blunt trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Emerg Med" "fecha" => "1997" "volumen" => "30" "paginaInicial" => "7" "paginaFinal" => "13" "link" => array:1 [ …1] ] ] ] ] ] ] 84 => array:3 [ "identificador" => "bib0425" "etiqueta" => "85." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Upper abdominal trauma: pitfalls in CT diagnosis" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.159.1.3952332" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1986" "volumen" => "159" "paginaInicial" => "65" "paginaFinal" => "69" "link" => array:1 [ …1] ] ] ] ] ] ] 85 => array:3 [ "identificador" => "bib0430" "etiqueta" => "86." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Computed tomography in the diagnosis of blunt intestinal and mesenteric injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1987" "volumen" => "27" "paginaInicial" => "11" "paginaFinal" => "17" "link" => array:1 [ …1] ] ] ] ] ] ] 86 => array:3 [ "identificador" => "bib0435" "etiqueta" => "87." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT of blunt trauma to the bowel and mesentery" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.160.1.8416646" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1993" "volumen" => "160" "paginaInicial" => "53" "paginaFinal" => "58" "link" => array:1 [ …1] ] ] ] ] ] ] 87 => array:3 [ "identificador" => "bib0440" "etiqueta" => "88." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic accuracy of helical CT for detection of blunt bowel and mesenteric injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Radiol" "fecha" => "1998" "volumen" => "53" "paginaInicial" => "193" "paginaFinal" => "197" "link" => array:1 [ …1] ] ] ] ] ] ] 88 => array:3 [ "identificador" => "bib0445" "etiqueta" => "89." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.173.1.2781000" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1989" "volumen" => "173" "paginaInicial" => "143" "paginaFinal" => "148" "link" => array:1 [ …1] ] ] ] ] ] ] 89 => array:3 [ "identificador" => "bib0450" "etiqueta" => "90." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT findings of mesenteric injury after blunt trauma: implications for surgical intervention" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.168.2.9016219" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1997" "volumen" => "168" "paginaInicial" => "425" "paginaFinal" => "428" "link" => array:1 [ …1] ] ] ] ] ] ] 90 => array:3 [ "identificador" => "bib0455" "etiqueta" => "91." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt bowel and mesenteric injury: diagnostic performance of CT signs" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "1997" "volumen" => "21" "paginaInicial" => "706" "paginaFinal" => "712" "link" => array:1 [ …1] ] ] ] ] ] ] 91 => array:3 [ "identificador" => "bib0460" "etiqueta" => "92." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT findings of bowel and mesenteric injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "1997" "volumen" => "21" "paginaInicial" => "974" "paginaFinal" => "979" "link" => array:1 [ …1] ] ] ] ] ] ] 92 => array:3 [ "identificador" => "bib0465" "etiqueta" => "93." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "1994" "volumen" => "168" "paginaInicial" => "670" "paginaFinal" => "675" "link" => array:1 [ …1] ] ] ] ] ] ] 93 => array:3 [ "identificador" => "bib0470" "etiqueta" => "94." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intra-abdominal free fluid without solid organ injury in blunt abdominal trauma: an indication for laparotomy" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "2002" "volumen" => "52" "paginaInicial" => "1134" "paginaFinal" => "1140" "link" => array:1 [ …1] ] ] ] ] ] ] 94 => array:3 [ "identificador" => "bib0475" "etiqueta" => "95." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.0007-1323.2001.01777.x" "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "2001" "volumen" => "88" "paginaInicial" => "901" "paginaFinal" => "912" "link" => array:1 [ …1] ] ] ] ] ] ] 95 => array:3 [ "identificador" => "bib0480" "etiqueta" => "96." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intestinal injuries missed by computed tomography" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1990" "volumen" => "30" "paginaInicial" => "1" "paginaFinal" => "5" "link" => array:1 [ …1] ] ] ] ] ] ] 96 => array:3 [ "identificador" => "bib0485" "etiqueta" => "97." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Computed tomography of abdomen (CTA) in management of blunt abdominal trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1990" "volumen" => "30" "paginaInicial" => "410" "paginaFinal" => "414" "link" => array:1 [ …1] ] ] ] ] ] ] 97 => array:3 [ "identificador" => "bib0490" "etiqueta" => "98." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.164.6.7754877" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1995" "volumen" => "164" "paginaInicial" => "1381" "paginaFinal" => "1385" "link" => array:1 [ …1] ] ] ] ] ] ] 98 => array:3 [ "identificador" => "bib0495" "etiqueta" => "99." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early diagnosis of small intestine rupture from blunt abdominal trauma using computed tomography: significance of the streaky density within the mesentery" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1995" "volumen" => "38" "paginaInicial" => "630" "paginaFinal" => "633" "link" => array:1 [ …1] ] ] ] ] ] ] 99 => array:3 [ "identificador" => "bib0500" "etiqueta" => "100." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Does free fluid on abdominal computed tomographic scan after blunt trauma require laparotomy?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1998" "volumen" => "44" "paginaInicial" => "599" "paginaFinal" => "602" "link" => array:1 [ …1] ] ] ] ] ] ] 100 => array:3 [ "identificador" => "bib0505" "etiqueta" => "101." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1998" "volumen" => "44" "paginaInicial" => "889" "paginaFinal" => "892" "link" => array:1 [ …1] ] ] ] ] ] ] 101 => array:3 [ "identificador" => "bib0510" "etiqueta" => "102." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial" "autores" => array:1 [ 0 => array:3 [ …3] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.TA.0000046261.06976.6A" "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "2003" "volumen" => "54" "paginaInicial" => "289" "paginaFinal" => "294" "link" => array:1 [ …1] ] ] ] ] ] ] 102 => array:3 [ "identificador" => "bib0515" "etiqueta" => "103." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Free fluid on abdominal computed tomography without solid organ injury after blunt abdominal injury does not mandate celiotomy" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Surg" "fecha" => "2001" "volumen" => "182" "paginaInicial" => "6" "paginaFinal" => "9" "link" => array:1 [ …1] ] ] ] ] ] ] 103 => array:3 [ "identificador" => "bib0520" "etiqueta" => "104." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Abdominal seat belt marks in the era of focused abdominal sonography for trauma" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Surg" "fecha" => "2002" "volumen" => "137" "paginaInicial" => "718" "paginaFinal" => "722" "link" => array:1 [ …1] ] ] ] ] ] ] 104 => array:3 [ "identificador" => "bib0525" "etiqueta" => "105." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "23-Hour observation solely for identification of missed injuries after trauma: is it justified?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.TA.0000031303.08027.21" "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "2002" "volumen" => "53" "paginaInicial" => "895" "paginaFinal" => "900" "link" => array:1 [ …1] ] ] ] ] ] ] 105 => array:3 [ "identificador" => "bib0530" "etiqueta" => "106." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Blunt liver trauma in children: the role of computed tomography in diagnosis and treatment" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1986" "volumen" => "21" "paginaInicial" => "413" "paginaFinal" => "418" "link" => array:1 [ …1] ] ] ] ] ] ] 106 => array:3 [ "identificador" => "bib0535" "etiqueta" => "107." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hepatic injury from blunt trauma in children: follow-up evaluation with CT" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/ajr.160.2.8424348" "Revista" => array:6 [ "tituloSerie" => "AJR" "fecha" => "1993" "volumen" => "160" "paginaInicial" => "347" "paginaFinal" => "351" "link" => array:1 [ …1] ] ] ] ] ] ] 107 => array:3 [ "identificador" => "bib0540" "etiqueta" => "108." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Limited value of routine followup CT scans in nonoperative management of blunt liver and splenic injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Surg" "fecha" => "1996" "volumen" => "62" "paginaInicial" => "883" "paginaFinal" => "886" "link" => array:1 [ …1] ] ] ] ] ] ] 108 => array:3 [ "identificador" => "bib0545" "etiqueta" => "109." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A comparison between operative and nonoperative management of blunt injuries to the liver and spleen in adult and pediatric patients" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surgery" "fecha" => "1989" "volumen" => "106" "paginaInicial" => "788" "paginaFinal" => "792" "link" => array:1 [ …1] ] ] ] ] ] ] 109 => array:3 [ "identificador" => "bib0550" "etiqueta" => "110." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of solid organ injuries in children. Is it safe?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1994" "volumen" => "219" "paginaInicial" => "625" "paginaFinal" => "628" "link" => array:1 [ …1] ] ] ] ] ] ] 110 => array:3 [ "identificador" => "bib0555" "etiqueta" => "111." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonoperative management of mayor blunt injury with hemoperitoneum [editorial]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Arch Surg" "fecha" => "1990" "volumen" => "120" "paginaInicial" => "103" ] ] ] ] ] ] 111 => array:3 [ "identificador" => "bib0560" "etiqueta" => "112." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Organ injury scaling: spleen and liver (1994 revision" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1995" "volumen" => "38" "paginaInicial" => "323" "paginaFinal" => "324" "link" => array:1 [ …1] ] ] ] ] ] ] 112 => array:3 [ "identificador" => "bib0565" "etiqueta" => "113." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Factors affecting morbidity following hepatic trauma. A prospective analysis of 482 injuries" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1991" "volumen" => "213" "paginaInicial" => "540" "paginaFinal" => "547" "link" => array:1 [ …1] ] ] ] ] ] ] 113 => array:3 [ "identificador" => "bib0570" "etiqueta" => "114." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of liver trauma [review]" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.1365-2168.1999.01210.x" "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "1999" "volumen" => "86" "paginaInicial" => "1121" "paginaFinal" => "1135" "link" => array:1 [ …1] ] ] ] ] ] ] 114 => array:3 [ "identificador" => "bib0575" "etiqueta" => "115." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety of the blood supply. Surrogate testing and transmission of hepatitis C in patients after massive transfusion" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1994" "volumen" => "219" "paginaInicial" => "517" "paginaFinal" => "525" "link" => array:1 [ …1] ] ] ] ] ] ] 115 => array:3 [ "identificador" => "bib0580" "etiqueta" => "116." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of recent trends of noninvasive trauma evaluation and nonoperative management in surgical resident education" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "2001" "volumen" => "50" "paginaInicial" => "1015" "paginaFinal" => "1019" "link" => array:1 [ …1] ] ] ] ] ] ] 116 => array:3 [ "identificador" => "bib0585" "etiqueta" => "117." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Has nonoperative management of solid visceral injuries adversely affected resident operative experience?" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Surg" "fecha" => "2001" "volumen" => "67" "paginaInicial" => "597" "paginaFinal" => "600" "link" => array:1 [ …1] ] ] ] ] ] ] 117 => array:3 [ "identificador" => "bib0590" "etiqueta" => "118." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy of liver wound healing by secondary intent" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1990" "volumen" => "30" "paginaInicial" => "44" "paginaFinal" => "48" "link" => array:1 [ …1] ] ] ] ] ] ] 118 => array:3 [ "identificador" => "bib0595" "etiqueta" => "119." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The diagnostic superiority of computerized tomography" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Trauma" "fecha" => "1985" "volumen" => "25" "paginaInicial" => "938" "paginaFinal" => "946" "link" => array:1 [ …1] ] ] ] ] ] ] 119 => array:3 [ "identificador" => "bib0600" "etiqueta" => "120." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A minimally invasive approach to bile peritonitis after blunt liver injury" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Surg" "fecha" => "2000" "volumen" => "66" "paginaInicial" => "309" "paginaFinal" => "312" "link" => array:1 [ …1] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/0009739X/0000007600000003/v1_201307101451/S0009739X04789526/v1_201307101451/es/main.assets" "Apartado" => array:4 [ "identificador" => "5765" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Revisión de conjunto" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/0009739X/0000007600000003/v1_201307101451/S0009739X04789526/v1_201307101451/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X04789526?idApp=UINPBA00004N" ]
año/Mes | Html | Total | |
---|---|---|---|
2024 Octubre | 7 | 7 | 14 |
2024 Septiembre | 33 | 19 | 52 |
2024 Agosto | 14 | 17 | 31 |
2024 Julio | 24 | 10 | 34 |
2024 Junio | 24 | 40 | 64 |
2024 Mayo | 19 | 28 | 47 |
2024 Abril | 11 | 32 | 43 |
2024 Marzo | 36 | 54 | 90 |
2024 Febrero | 30 | 23 | 53 |
2024 Enero | 14 | 38 | 52 |
2023 Diciembre | 24 | 44 | 68 |
2023 Noviembre | 34 | 38 | 72 |
2023 Octubre | 35 | 28 | 63 |
2023 Septiembre | 26 | 19 | 45 |
2023 Agosto | 10 | 26 | 36 |
2023 Julio | 12 | 43 | 55 |
2023 Junio | 17 | 9 | 26 |
2023 Mayo | 24 | 32 | 56 |
2023 Abril | 9 | 3 | 12 |
2023 Marzo | 19 | 12 | 31 |
2023 Febrero | 19 | 16 | 35 |
2023 Enero | 7 | 1 | 8 |
2022 Diciembre | 18 | 17 | 35 |
2022 Noviembre | 43 | 33 | 76 |
2022 Octubre | 24 | 15 | 39 |
2022 Septiembre | 22 | 28 | 50 |
2022 Agosto | 26 | 19 | 45 |
2022 Julio | 16 | 10 | 26 |
2022 Junio | 22 | 9 | 31 |
2022 Mayo | 27 | 24 | 51 |
2022 Abril | 48 | 24 | 72 |
2022 Marzo | 25 | 23 | 48 |
2022 Febrero | 22 | 4 | 26 |
2022 Enero | 9 | 13 | 22 |
2021 Diciembre | 9 | 18 | 27 |
2021 Noviembre | 21 | 13 | 34 |
2021 Octubre | 15 | 19 | 34 |
2021 Septiembre | 9 | 15 | 24 |
2021 Agosto | 13 | 8 | 21 |
2021 Julio | 8 | 11 | 19 |
2021 Junio | 21 | 12 | 33 |
2021 Mayo | 12 | 13 | 25 |
2021 Abril | 7 | 29 | 36 |
2021 Marzo | 36 | 20 | 56 |
2021 Febrero | 22 | 10 | 32 |
2021 Enero | 14 | 30 | 44 |
2020 Diciembre | 15 | 33 | 48 |
2020 Noviembre | 12 | 62 | 74 |
2020 Octubre | 17 | 55 | 72 |
2020 Septiembre | 25 | 32 | 57 |
2020 Agosto | 14 | 48 | 62 |
2020 Julio | 20 | 13 | 33 |
2020 Junio | 14 | 15 | 29 |
2020 Mayo | 15 | 33 | 48 |
2020 Abril | 18 | 17 | 35 |
2020 Marzo | 8 | 18 | 26 |
2020 Febrero | 8 | 13 | 21 |
2020 Enero | 19 | 21 | 40 |
2019 Diciembre | 40 | 35 | 75 |
2019 Noviembre | 11 | 14 | 25 |
2019 Octubre | 12 | 24 | 36 |
2019 Septiembre | 19 | 21 | 40 |
2019 Agosto | 18 | 26 | 44 |
2019 Julio | 13 | 28 | 41 |
2019 Junio | 58 | 85 | 143 |
2019 Mayo | 196 | 294 | 490 |
2019 Abril | 64 | 108 | 172 |
2019 Marzo | 97 | 47 | 144 |
2019 Febrero | 16 | 70 | 86 |
2019 Enero | 7 | 70 | 77 |
2018 Diciembre | 8 | 56 | 64 |
2018 Noviembre | 21 | 49 | 70 |
2018 Octubre | 45 | 31 | 76 |
2018 Septiembre | 13 | 90 | 103 |
2018 Agosto | 7 | 170 | 177 |
2018 Julio | 7 | 138 | 145 |
2018 Junio | 12 | 102 | 114 |
2018 Mayo | 11 | 83 | 94 |
2018 Abril | 10 | 98 | 108 |
2018 Marzo | 4 | 65 | 69 |
2018 Febrero | 3 | 41 | 44 |
2018 Enero | 12 | 18 | 30 |
2017 Diciembre | 12 | 36 | 48 |
2017 Noviembre | 14 | 29 | 43 |
2017 Octubre | 21 | 47 | 68 |
2017 Septiembre | 29 | 50 | 79 |
2017 Agosto | 15 | 27 | 42 |
2017 Julio | 22 | 37 | 59 |
2017 Junio | 20 | 38 | 58 |
2017 Mayo | 23 | 35 | 58 |
2017 Abril | 26 | 23 | 49 |
2017 Marzo | 18 | 16 | 34 |
2017 Febrero | 15 | 19 | 34 |
2017 Enero | 16 | 9 | 25 |
2016 Diciembre | 51 | 12 | 63 |
2016 Noviembre | 66 | 9 | 75 |
2016 Octubre | 56 | 8 | 64 |
2016 Septiembre | 44 | 17 | 61 |
2016 Agosto | 22 | 9 | 31 |
2016 Julio | 35 | 14 | 49 |
2016 Junio | 77 | 18 | 95 |
2016 Mayo | 66 | 10 | 76 |
2016 Abril | 62 | 29 | 91 |
2016 Marzo | 86 | 25 | 111 |
2016 Febrero | 54 | 15 | 69 |
2016 Enero | 38 | 15 | 53 |
2015 Diciembre | 39 | 8 | 47 |
2015 Noviembre | 45 | 7 | 52 |
2015 Octubre | 54 | 9 | 63 |
2015 Septiembre | 72 | 14 | 86 |
2015 Agosto | 72 | 5 | 77 |
2015 Julio | 93 | 12 | 105 |
2015 Junio | 44 | 3 | 47 |
2015 Mayo | 55 | 7 | 62 |
2015 Abril | 70 | 7 | 77 |
2015 Marzo | 64 | 4 | 68 |
2015 Febrero | 73 | 14 | 87 |
2015 Enero | 45 | 2 | 47 |
2014 Diciembre | 58 | 5 | 63 |
2014 Noviembre | 48 | 2 | 50 |
2014 Octubre | 44 | 1 | 45 |
2014 Septiembre | 45 | 0 | 45 |
2014 Agosto | 36 | 1 | 37 |
2014 Julio | 41 | 4 | 45 |
2014 Junio | 46 | 3 | 49 |
2014 Mayo | 32 | 4 | 36 |
2014 Abril | 22 | 2 | 24 |
2014 Marzo | 32 | 2 | 34 |
2014 Febrero | 28 | 0 | 28 |
2014 Enero | 27 | 2 | 29 |
2013 Diciembre | 31 | 3 | 34 |
2013 Noviembre | 23 | 3 | 26 |
2013 Octubre | 22 | 4 | 26 |
2013 Septiembre | 20 | 5 | 25 |
2013 Agosto | 17 | 3 | 20 |
2013 Julio | 5 | 1 | 6 |
2004 Agosto | 2121 | 0 | 2121 |