[Surgical tactics in the closed hepatic trauma].
In the clinic there were treated 61 patients with closed hepatic trauma, who have constituted 5.4% of the total quantity of the injured persons, suffering the internal organs damage. Curative laparoscopic interventions were succeeded in 5 (8.2%) patients with favorable outcome. An urgent laparotomy was conducted in 56 (91.8%) patients. After median laparotomy performance while profuse hemorrhage occurrence the aorta clasp in infraabdominal portion was performed for its temporary closure. After estimation of severity of the hepatic segments damage severity, the hepatic ruptures I-II grades of severity were sutured, applying P-like sutures in 58.9% patients. The hemostatic hepatic mode of suturing, elaborated in the clinic, was applied in 8 patients. The combined abdominal damages were corrected in 17 patients. Relaparotomy for abdominal cavity abscess was performed in 6 (10.7%) injured persons, 20 (35.7%) patients died.
Kapshitar'
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D013536:Suture Techniques; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D055815:Young Adult