[Diagnosis and treatment of liver injuries and their sequelae].
The authors studied 222 cases of closed and open injuries to the liver and, in addition, had 5 patients who were treated for sequelae of injury (hemobilia, abscesses, biliary fistula of the liver). The diagnosis of open injuries to the liver is established without great difficulties; laparocentesis and laparoscopy are indicated in closed injury. The volume of the operation is determined by the character of the damage: closure of the hepatic wound proves sufficient in most patients; surgical debridement is necessary in deep extensive wounds; resection of the liver is resorted to in disturbed blood supply. The high postoperative mortality rate is due to the fact that 71.8% of patients had concurrent injuries of the liver, other abdominal organs, organs of other cavities, central nervous system, and the locomotor apparatus.
Nikhinson
R A
RA
Chikhachev
A M
AM
Khomenko
V V
VV
Korkin
I V
IV
D000328:Adult; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery
Diagnostika i lechenie povrezhdeniĭ pecheni i ikh posledstviĭ.