Abstract
We report a retrospective analysis of 45 patients (41 male) aged between 14 and 57 years, with a blunt liver trauma seen between 1984 and 1993. Sixty two percent had complex liver lesions and 73% extraabdominal injuries. Peritoneal lavage and abdominal ultrasound appeared as useful diagnosis tools. Five patients were not operated and had a satisfactory evolution. Among operated patients, liver lesions were corrected with simple measures in 60%, hepatotomy in 7.5% and resection in 17.5%. As additional measures, tamponade was used in 4, resuscitation thoracotomy in 4, porto caval shunt in 2 and Marimoto balloon in 1. Eighteen percent of patients died and 32% had postoperative complications.
| Translated title of the contribution | Blunt trauma of the liver: treatment and results in 45 patients |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 445-450 |
| Number of pages | 6 |
| Journal | Revista médica de Chile |
| Volume | 123 |
| Issue number | 4 |
| State | Published - Apr 1995 |
| Externally published | Yes |
Keywords
- Adolescent
- Adult
- Female
- Humans
- Injury Severity Score
- Liver
- Male
- Middle Aged
- Multiple Trauma
- Postoperative Complications
- Retrospective Studies
- Wounds
- Nonpenetrating