Ballon tamponade for bleeding control in penetrating liver injuries. The magnitude of this bleeding may result in life-threatening complications. The Abbreviated Injury Scale, revision: Von Bahten et al.
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LIVER TRANSPLANTATION AFTER SEVERE HEPATIC TRAUMA: CURRENT INDICATIONS AND RESULTS
Multiplicity of solid organ injury: Long-term outcome analysis of liver transplantation for severe hepatic trauma. Perihepatic packing is today the most accepted method to management of major liver injuries.
Intra-abdominal free fluid without solid organ injury in blunt abdominal trauma: Status of nonoperative management of blunt hepatic injuries in Peritoneal cavity penetration is still the frauma indication to exploratory celiotomy.
Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Nonoperative management of major blunt liver injury with hemoperitoneum.
Computed tomography of abdomen CTA in management of blunt abdominal trauma. J Trauma, 30pp.
The FAST exam has high sensitivity and is largely applied as a triage tool to detect hemoperitoneum. In the third scenario the indication is transplant elective procedure by one step, since they are patients with late post-traumatic sequelae as demonstrated in Table 5 Nonoperative management of solid abdominal organ injuries from blunt trauma: Early diagnosis of small intestine rupture from blunt abdominal trauma using computed tomography: Significant trends in the treatment of hepatic trauma.
Evolution in the treatment of complex blunt liver injuries [review]. National Center for Biotechnology InformationU.
Were reviewed 14 articles in the PubMed, Medline and Lilacs databases, selected between and 10 for this study. J Trauma, 25pp.
The liver is the most injured organ in abdominal trauma. Complications of nonoperative management of high-grade blunt hepatic injuries. Capsular tear, active bleeding: Acta Chir Scand,pp.
Blunt hepatic trauma: comparison between surgical and nonoperative treatment
Meticulous management of the open abdomen is also crucial to limit associated morbidity. In these patients, often the liver transplant is the last therapeutic alternative; however, not all patients are candidates for transplant and that choice should be conducted carefully and individually. There are two types of procedures described in the literature: Computed tomography in the diagnosis of blunt intestinal and mesenteric injuries.
Polytrauma - pathophysiology and management principles. Angiographic embolization for liver injuries: A single-center experience and review of the literature. Clin Radiol, 53pp. Surg Gynecol Obstet, 2pp. Blunt bowel and mesenteric injury: The present review aims to establish patient selection criteria, taking he;atico account their hemodynamic stability, neurological integrity, the presence or absence of peritoneal signs, grade of lesion, the possibility of adequate monitoring, quantity of hemoperitoneum, quantity of blood transfusion, the presence of associated lesions, hspatico tomography quality, absence of active hemorrhage, age, anticoagulant therapy and cause of trauma.
The main goal after packing is to correct acidosis, hypothermia and coagulopathy.
J Trauma, 21pp. Predictors of outcome in patients requiring surgery for liver trauma.