[Current treatment of hepatic trauma].
The therapeutic and diagnostic approach of liver trauma injuries (by extension, of abdominal trauma) has evolved remarkably in the last decades. The current non-surgical treatment in the vast majority of liver injuries is supported by the accumulated experience and optimal results in the current series. It is considered that the non-surgical treatment of liver injuries has a current rate of success of 83-100%, with an associated morbidity of 5-42%. The haemodynamic stability of the patient will determine the applicability of the non-surgical treatment. Arteriography with angioembolisation constitutes a key technical tool in the context of liver trauma. Patients with haemodynamic instability will need an urgent operation and can benefit from abdominal packing techniques, damage control and post-operative arteriography. The present review attempts to contribute to the current, global and practical management in the care of liver trauma.
Silvio-Estaba
Leonardo
L
Servicio de Cirugía General y Digestiva, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. lsilvioestaba@yahoo.es
Madrazo-González
Zoilo
Z
Ramos-Rubio
Emilio
E
D000792:Angiography; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery*; D014947:Wounds and Injuries / Q000601:surgery / Q000628:therapy*