Liver trauma abstract the liver is the largest organ in the abdomen, that makes it highly vulnerable in blunt and penetrating abdominal trauma. A populationbased study lichien chien, sushun lo, shihyu yeh department of surgery, national yangming medical university hospital, ilan, taiwan, roc received september 3, 2012. Were identified 46 cases undergoing liver transplant after liver trauma. Treatment strategy for hepatic trauma pubmed central pmc. Incidence of liver trauma and relative risk factors for mortality. Introduction hepatic trauma occurs in approximately 5% of all admissions in emergency rooms1.
Bei intensivpatienten mit schwerem schadelhirntrauma sollen keine. Dokumentation bpejahrestagung 2014 im bundesverband. Surgery wses classification of liver trauma and the management guidelines. The bile leak after liver trauma represent a complex problem, being necessary the multidisciplinary treatment. Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. The individuals experience of trauma may be profoundly affected by when, how, where and how often it occurs. Wses classification and guidelines for liver trauma world journal. The transplant can be done, in this context, performing onestage procedure damaged organ removed with immediate transplantation, used in 72% of cases. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Manejo del trauma hepatico mas empaquetamiento con. Guidelines on urological trauma, european association of urology 2014. An observational, descriptive and retrospective study was performed on patients with hepatic trauma admitted to our department from january 2006 to march 2010.
Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the. Optimal elements, integration, and assessment resourcees for optimal care of the injured ppa tient 2014 chaptte r 1 regional trauma sysst ems. Download as pptx, pdf, txt or read online from scribd. Hepatic injury takes the third place in abdominal injury and 80%90% of hepatic injuries are blunt ones. Mortality and graft loss rates at 90 days were set as primary and secondary outcome measures, respectively. If you continue browsing the site, you agree to the use of cookies on this website.
Motor vehicle accidents are the most common etiology for. Resultsmortality and graft loss rates at 90 days were 42. Minimally invasive treatment of liver injury after abdominal blunt trauma summary. Perihepatic packing and suturing were the most common procedures performed. Due to the low incidence, complexity and gravity, its management is a challenge, and little consensus on its diagnosis and treatment exists. Easily share your publications and get them in front of issuus. Scribd is the worlds largest social reading and publishing site. The anatomic location and the size of the liver make the organ even more susceptible to trauma and frequently in penetrating injuries.
Pdf liver transplantation after severe hepatic trauma. Liver trauma, minor, moderate, severe, classification, guidelines, surgery, hemorrage, operative management. Resources for optimal care of the injured patient 2014 1 chapter 1 regional trauma systems. In determining the optimal treatment strategy, however, the haemodynamic status and associated injuries should be considered. Wses classification and guidelines for liver trauma. The liver is the most injured organ in abdominal trauma. Development in the diagnosis and management of liver trauma was followed in recent years by decline in mortality, which is attributable to improved diagnostic methods. Incidence of liver trauma and relative risk factors for.
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