[Ligation of the hilar arteries in hemorrhages due to traumatic rupture of the liver].
The paper reports two cases of severe hematoperitoneum due to the traumatic rupture, or so-called explosion, of the liver. During surgery one of these cases underwent ligature of the right and left hepatic arteries, while the other only underwent right hepatic arterial ligature. Selective arteriography at varying intervals after surgery showed that vascular occlusion had taken place together with the creation of an adequate compensation circle. Both patients now lead absolutely normal lives, respectively five and two years after surgery. This technique of hemostasis, which is reserved for use in cases of otherwise unresolvable hepatic hemorrhage, although still rarely used, should form part of every surgeon's general training since it might prove unexpectedly essential.
Musiani
R
R
Unità Operativa di Chirurgia Generale, Regione Toscana--USL 14, Cecina, Livorno.
Bartoli
R
R
Barlettani
P
P
D000293:Adolescent; D000328:Adult; D004630:Emergencies; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008099:Liver / Q000098:blood supply / Q000293:injuries*; D008297:Male; D012421:Rupture
La legatura delle arterie ilari nelle emorragie da rottura traumatica del fegato.