“Non-surgical” liver trauma
Presentation of a grade III case
Keywords:
Closed Hepatic Trauma, Non-Surgical TreatmentAbstract
We present our experience in the management of a patient with hepatic trauma in a non-operative way in adults in the Emergency Unit of the Abel Gilbert Ponton Hospital.
The use of TAC in the evaluation of abdominal trauma has allowed the development of non-operative treatment in a selected group of patients with blunt liver trauma. The Tomographic Diagnosis, hematocrit controls, platelets and mainly vital signs controls (blood pressure), and the Glasgow scale were taken into account.
References
CYWES. S. Blunt liver trauma in childre nonoperatorative management. J. PEDIATRIC 198. No 20, Pág. 14.
Feliciano D. Management of 1000 consecutive casos of hepatic trauma. ANN SURG 1986, 204: 438 – 443. Surgevery for liver trauma. SURG CLIN NORTH AM 1989, 69: 273 – 283.
González J. Traumatismo hepático, factores de riesgo y tratamiento. Cirugía Española 1990 No 48, Pág. 666- 671.
Pérez M. Criterios actuales en el tratamiento de las lesiones del hígado. Cirugia Española Feb.1996 Vol. 59 No 2, Pág. 101.
Rius X. Trauma Hepático hoy. Cirugia Española Vol. 59, Feb. 1996 No 2 Pág. 99
Morales R. Controversia en el tratamiento No operativo del trauma hepático cerrado adulto. Cirugia Vol 59 Feb. 1996 No. 2 Pág. 106.
Mc. Connell D. Tratamiento no operatorio de traumatismo abdominal. Clínica quirúrgica de Norteamérica 3/1990. Pág. 686.
Kresrin Ch. Traumatismo abdominal. Diagnóstico por imágenes. Cap. 15 Pág. 216.
Mirvis S.E. Blunt hepatic trauma in adult: CT basec clasification and correlation with prognosis and treatment “RADIOLOGY” 1989 No. 17, Pág.27 – 32.
Federle MP. Hemoperitoneum studied by computed tomograpy. “Radiologi” 1983 No 148 Pág. 187 – 192.
Armegol M. Tratamiento no operatorio de los traumas hepáticos. Cirugía Española 1991 No 50 Pág. 446.
Haubold b. Intrahepatic subcapsular hematoma. Surgical Laparoscopy Vol.8 No.4 1998 Pág. 304.
Mooree. Organ injury sacilng: Liver. Journal of Trauma Vol. 38 No3 Pág. 323.
