[Blunt trauma of the liver: treatment and results in 45 patients].
We report a retrospective analysis of 45 patients (41 male) aged between 14 and 57 years, with a blunt liver trauma seen between 1984 and 1993. Sixty two percent had complex liver lesions and 73% extraabdominal injuries. Peritoneal lavage and abdominal ultrasound appeared as useful diagnosis tools. Five patients were not operated and had a satisfactory evolution. Among operated patients, liver lesions were corrected with simple measures in 60%, hepatotomy in 7.5% and resection in 17.5%. As additional measures, tamponade was used in 4, resuscitation thoracotomy in 4, porto caval shunt in 2 and Marimoto balloon in 1. Eighteen percent of patients died and 32% had postoperative complications.
Servicio de Cirugía, Hospital del Trabajador, Santiago de Chile.
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Espinoza
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Aguilera
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality; D011183:Postoperative Complications; D012189:Retrospective Studies; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery
Traumatismo hepático cerrado: tratamiento y resultados en 45 pacientes.