[Conservative attitude in the treatment of closed injuries of the liver].
Progress made in surgical treatment of blunt hepatic trauma (BHT) are numerous. Some procedures are sophisticated, but the best results seem to be due to conservative trends. These conservative trends are observed on one hand during the laparotomy with limited hepatectomies, and peri-hepatic packing, on the other hand in non operative management (NOM). Among 55 patients treated over a 10 years period for BHT, NOM. (18 cases) is reported: incidence of NOM increased along the period (from 3 cases on 35, to 15 cases on 20). No deaths and no complications were observed. Secondary exploration was required in three patients: no one was objectively useful. Detection of hemoperitoneum greater than 500 cc and initial blood hypotension (if well corrected by resuscitation) do not exclude this NOM.
Letoublon
C
C
Service de Chirurgie générale et digestive, hôpital A.-Michallon, Grenoble.
Alnaasan
I
I
Pasquier
J C
JC
Charvin
B
B
Lahbabi
K
K
Champetier
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003250:Constriction; D005260:Female; D006489:Hemostatic Techniques; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D014949:Wounds, Nonpenetrating / Q000628:therapy*
Attitudes conservatrices dans le traitement des traumatismes fermés du foie.