Cárdenas-Martínez G, Rodríguez-Ortega MF, Delgadillo-Gutiérrez S, Cervantes-Castro J

Language: Spanish
References: 14
Page: 152-158
PDF size: 142.36 Kb.

ABSTRACT

Objective: To inform about our experience in the surgical treatment of blunt hepatic injuries and associated lesions. Setting: Red Cross Hospital Center Mexico City. Design: Retrospective and observational study. Patients and methods: We reviewed the clinical records of 21 patients with blunt abdominal trauma and liver injuries at the Red Cross Hospital Center Mexico City from March 2000 to March 2001. We analyzed the following variables: Mechanisms of lesion, gender and age, diagnosis, the cases were classified according to the liver injury scale as well as the segment affected, surgical treatment, associated lesions, morbidity and mortality. Results: 16 male patients were and 5 females, with an average age 29 years; the most common mechanism of blunt hepatic injury was the motor vehicle accident, diagnostic peritoneal lavage was performed in all the patients, the most frequent injury was grade III (36%) and the segment most affected was that of VI (52%). The treatment can vary from deep liver suturing to peri hepatic packing. The spleen was the organ most affected with blunt hepatic injuries. Only 6 patients (29%) died. Conclusion: Severity of the associated lesion was a relevant factor influencing morbidity and mortality.

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