TRAUMA HEPATICO PDF

Fischer et al. Karp et al. Utilizando-se de modelo experimental, Dulchavsky et al. McGraw-Hill 4th ed.

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Ruptura subcapsular ou hematoma parenquimatoso. Maior que 3 cm de profundidade. ABSTRACT Background: We analyze the epidemiological characteristics related to hepatic trauma, and we do a brief review of the different types in diagnosis and management.

Methods: A retrospective study from February to March One hundred fifty four patients were admitted at Cajuru University Hospital with hepatic trauma. Results: We found that Hepatic no blunt traumas were Among these, Blunt traumas were responsible by automobile collisions in Most patients arrived at the hospital between A. The average blood pressure was In The most frequent lesions were related to a second degree followed by 3rd and 4th degree lesions reaching The average ISS was The survival rate was , Conclusion: The epidemiological data reflect modern society violence, which is translated by the increasing complexity in lesions found, and it has been a challenge for the surgeon to choose the best therapeutic method.

Organ injury scaling: spleen and liver revision. J Trauma. Trunkey DD. Hepatic trauma: contemporary management. Surg Clin North Am. Liver trauma: management of devascularization injuries. Reevaluating the management and outcomes of severe blunt liver injury. Selective management of blunt hepatic injuries including nonoperative management is a safe and effective strategy. Severe hepatic trauma: a multi-center experience with 1, liver injuries.

Rev Gastroenterol Peru. American College of Surgeons. Advanced trauma life support. Chicago: American College of Surgeons; Stracieri LD, Scarpelini S. Acta Cir Bras. Blunt liver injury: from non-operative management to liver transplantation. Liver abscess after non-operative management of blunt liver injury. Langenbecks Arch Surg. Epub Dec Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the s.

Ann Surg. Risk factors for hepatic morbidity following nonoperative management: multicenter study. Arch Surg. Selective non-operative management of liver gunshot injuries. Br J Surg. Advances and changes in the management of liver injuries. Am Surg. Rev Col Bras Cir. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial.

Surgical treatment of liver trauma analysis of patients. Non-operative management of blunt hepatic trauma. Eleven years of liver trauma: the Scottish experience. World J Surg. Management of traumatic liver injuries. Leberverletzungen nachstumpfem Bauchtrauma. Surgical restraint in the management of liver trauma. Epidemiology of liver injuries. Scand J Surg. Liver trauma in patients. S Afr J Surg. Management of consecutive cases of hepatic trauma — Trauma surgeons practice what they preach: the NTDB story on solid organ injury management.

Blunt liver injuries in polytrauma: results from a cohort study with the regular use of a whole-body helical computed tomography. Status of nonoperative management of blunt hepatic injuries in a multicenter experience with patients.

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Trauma Hepático Grave: Estrategias de Manejo

La segunda es la sepsis, intra o extra-abdominal. Se utiliza sulfuro coloidal-Tcm, y su utilidad reside principalmente en el seguimiento de pacientes operados. En general la hemostasia se logra mejor aplicando hemoclips que con ligaduras. Sutura hepatorrafia. Desbridamiento de los tejidos desvitalizados. Control de escape de bilis. El escape de bilis a la cavidad peritoneal debe ser evitado.

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