[Means of reducing blood loss and volume of the used transfused media in operative treatment of burn lesions of the liver].
An experience with surgical treatment of 77 patients with focal lesions of the liver is described. The patients were divided into two groups. In the main group (42 patients) the treatment-and-prophylactic method was used including acute isovolemic and hypervolemic hemodilution, preliminary preparation of autoblood, isolation and ligation of the vascular-secretory elements, the application for local hemostasis with Takhokomb of "Tissucol", gelatinous sponge with gentamycin. In the group of comparison the compression of the hepatoduodenal ligament, isolation of the vascular-secretory elements by digitoclasia method, suturing the liver stump with polysorb were used in resection of the liver. The strategy used in the main group allowed to reduce the volume of blood loss, to lessen the number of doses of the transfused donor blood, to diminish the number of postoperative complications by 30.5%. The used complex is effective, simple and is not expensive.
Zarivchatskiĭ
M F
MF
Malyginov
K E
KE
Pirozhnikov
O Iu
OIu
Gavrilov
O V
OV
Mugatarov
I N
IN
Kolevatov
A P
AP
D016063:Blood Loss, Surgical / Q000517:prevention & control; D001804:Blood Transfusion, Autologous / Q000379:methods; D003404:Creatinine / Q000378:metabolism; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D020896:Hypovolemia / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000517:prevention & control*; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011517:Prothrombin Time; D012720:Severity of Illness Index; D014463:Ultrasonography
D003404:Creatinine