title: [Peculiarities of laparoscopic diagnosis of the closed hepatic traumatic damage].
abstract: Diagnostic possibilities of laparoscopy were studied in 24 injured persons, suffering closed hepatic damage in noninformity of results of clinical, laboratory-biochemical, roentgenologic, ultrasound investigations and diagnostic peritoneal lavage as well, were studied. Isolated trauma was revealed in 8 injured persons, the multiple one in 7 and the combined--in 9. Open operation was performed in 21 patients, relaparotomy--in 3, laparoscopic intervention with curative intent--in 3 hepatic wound tamponade, using hemostatic sponge with ambene, lubricated by dicinon. Three patients died due to severe combined trauma.
authors.forename: A A
authors.initials: AA
authors.lastname: Kapshitar'
authors.forename: A V
authors.initials: AV
authors.lastname: Kapshitar'
authors.forename: I F
authors.initials: IF
authors.lastname: Syrbu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery