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.
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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.
Trauma Hepático Grave: Estrategias Intraoperatorias