LIVER TRAUMA IN ADULTS AND ITS COMPLICATIONS
Authors:
M. Šír 1; L. Pleva 1; J. Černoch 2; L. Martínek 2
; J. Chmelová 3; D. Czerný 3; P. Klvaňa 4; L. Bialy 5
Authors place of work:
Centre of Traumatology University Hospital Ostrava
1; Traumatologické centrum Fakultní nemocnice s poliklinikou Ostrava
1; Department of Surgery University Hospital Ostrava
2; Chirurgická klinika Fakultní nemocnice s poliklinikou Ostrava
2; Department of Radiodiagnostics University Hospital Ostrava
3; Ústav radiodiagnostický Fakultní nemocnice s poliklinikou Ostrava
3; Department of Internal Medicine University Hospital Ostrava
4; Interní klinika Fakultní nemocnice s poliklinikou Ostrava
4; Department of Central Admission University Hospital Ostrava
5; Oddělení centrálního příjmu Fakultní nemocnice s poliklinikou Ostrava
5
Published in the journal:
Úraz chir. 13., 2005, č.1
Summary
The authors describe a group of 65 patients with liver injury treated in the Trauma Centre of University Hospital OstravaPoruba during last 5 years. Blunt injuries prevailed (80 %) as at other European clinics. Simple liver injury of the Ist and IInd grade according to AAST occurred in 39 patients, serious liver trauma of the IIIrd and Vth grade in 26 cases.
28 patients (43,1 %) were treated conservatively, 37 patients underwent surgical treatment. In operated patients, liver sutures in combination with ligation of bleeding vessels prevailed (73 %), the intervention was combined with the method of DCS (damage control surgery) in 12 patients with continual peroperative bleeding.
Postoperative complications were treated in 10 patients (15,4 %). The most frequent complications: postoperative bleeding, biliary leak and fluidothorax. The overall mortality in our group of 65 patients with liver injury was 20 %.
Key words:
liver trauma, conservative treatment, surgical treatment, complications.
Zdroje
1. HALVA, Z., PAVLŮ, I., MARTÍNEK, L. Operační řešení poúrazové pseudocysty jater. Zp úraz chir. 3, 1995, 2, 6–8.
2. KITKA, M., PLEVA, L. Poranenia orgánov brušnej dutiny. Zbierka Jána Bauera. Košice: Klinika úrazovej chirurgie LF UP. 1. vyd. 2003, 74 s. ISBN 8096882457.
3. Michek, J., Pleva, L., Wendsche, P. Poranění orgánů dutiny břišní a retroperitonea. Ostrava: Cicero, 2001, 134 s.
4. MICHEK, J., ZELNÍČEK, P., VRASTYÁK, J. et al. Úskalí hemobilie u centrálních ruptur jater. Úraz chir. 7, 1999, 3, 6–9.
5. MOROCHOVIČ, R., KITKA, M. Poranenie brucha detí spôsobené nárazom na riaditká bicykla. Úraz chir. 10, 2002, 4, 25–29.
6. OZTURK, H., DOKUCU, A.I., ONEN, A. et al. Nonoperative management of isolated solid organ injuries due to blunt abdominal trauma in children: a fifteenyear experience. Eur J Pediatric Surgery. 14, 2004, 29–34.
7. PLEVA, L., ČERNOCH, U., ŠÍR, M., CHMELOVÁ, J. Poranění pankreatu u polytraumatu. Úraz chir. 11, 2003, 3, 6–9.
8. Pleva, L., Mayzlík, J., Šír, M. Abdominální kompartment syndrom u polytraumatu. Úraz. chir. 11, 2003, 2, 7–11.
9. RUESS, L., SIVIT, C.J., EICHELBERGER, M.R. et al. Blunt hepatic and splenic trauma in children: correlation of a CT injury severity scale with clinical outcome. Pediatr Radiol. 25, 1995, 321–325.
10. SARTORELLI, K.H., FRUMIENTO, C., ROGERS, F.B. et al. Nonoperative management of hepatic, splenic, and renal injuries in adults with multiple injuries. J Trauma. 7, 2000, 49, 56–62.
11. Safi, F., Werner, S., Poch, B. et al. Chirurgische Versorgung von Leberrupturen. Chirurg. 1999, 70, 253–258.
12. ŠIMÁNEK, V., SKALICKÝ, T., TŘEŠKA, VL. Závažnost poranění jater – kazuistiky. Úraz chir. 12, 2004, 3, 17–22.
13. TRUNKEY, D.D. Hepatic trauma: contemporary management. Surg Clin N Am. 84, 2004, 437–450.
14. VYHNÁNEK, F., DENEMARK, L., DUCHÁČ, V. Postupy při poranění jater z pohledu současných diagnostických a léčebných možností. Acta Chir Orthop Traumatol Cech. 70, 2003, 219–225.
15. ZELENÁK, J., HUŤAN, M., KÁLIG, K. Súčasný prístup k poraneniam pečene. Acta Chir Orthop Traumatol Cech. 68, 2001, 112–116.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2005 Číslo 1
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
- Obstacle Called Vasospasm: Which Solution Is Most Effective in Microsurgery and How to Pharmacologically Assist It?
Najčítanejšie v tomto čísle
- Thoracotomy for thoracic trauma
- LIVER TRAUMA IN ADULTS AND ITS COMPLICATIONS
- Chronic knee pain after unreamed intramedullary nailing of tibia and its risk factors
- Diagnostic algorithm and lung laceration therapy