[Hepatic injury.].
Based on a critical review and analysis of results of surgical treatment of blunt liver injuries from 1983 to the present time the authors emphasize the importance of primary treatment of liver injuries. The foremost effort of the surgeon is reliable, aimed haemostasis during temporary short-term ischaemia of the liver by Pringle's manoeuvre or by a block of the suprahepatic cava resp. Pericentesis of the liver is not suitable for hepatic surgery. The second demand is systematic débridement of devitalized parts of the liver even if atypical resections must be made. In the group of patients where these two principles were respected, the number of complications was minimal. Key words: hepatic injury, resection of the liver.
Labas
P
P
I. chirurgická klinika LFUK, Bratislava.
Huorka
M
M
Lukác
L
L