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2004, Number 2

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Cir Gen 2004; 26 (2)

Blunt hepatic trauma and associated lesions. Two-years institutional experience

Rodríguez OMF, Cárdenas MG, Gómez GMA, Cervantes CJ, López CH, López COA, Hiromoto CM

Language: Spanish
References: 16
Page: 87-92
PDF size: 110.34 Kb.


ABSTRACT

Objective: To describe the surgical characteristics of hepatic injuries, treatment applied, associated lesions, morbidity and mortality.
Setting: Third level health care hospital.
Design: Retrospective, observational study.
Patients and methods: We reviewed the clinical histories of 52 patients with antecedents of blunt abdominal trauma and hepatic injury recorded from March 2000 to March 2002. We analyzed the following variables: mechanism of injury, gender and age, degree of injury, affected hepatic segment, type of surgical treatment, associated lesions, duration of hospital stay, and mortality.
Results: Seventy-five percent (39) were men, 25% (13) were women, grade III injury was the most frequent (36.5%), and segments IV and VII were the most affected (55.7 and 42.3%, respectively). The applied surgical treatments were repair of the injury (44%) and peri-hepatic packing (44.2%). The most frequent associated lesions were intraabdominal (spleen and retroperitoneum). Twenty-five (48%) deaths occurred.
Conclusion: A correct clinical evaluation, use of peritoneal lavage, timely diagnosis, and an early decision on peri-hepatic packing decreased mortality in patients coursing with grade III injuries in more than two segments and with grade IV injuries.


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