+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Treatment of blunt trauma to the liver

, : Treatment of blunt trauma to the liver. Journal de Chirurgie 136(3): 124-129

Management of Blunt hepatic injuries is dramatically modified since early 80's. Non operative management is presently used in over 80% of all cases, irrespective of haemoperitoneum and grade of injury. Close observation of the patient is requested. Laparotomy or laparoscopy must be decided in any case of suspected missed injury. Laparotomy is used for worse hemodynamic status. Peroperative mortality is mainly attributed to haemorrhage. Aggressive surgery has progressively given place to more conservative techniques. Understanding of coagulopathy related to massive transfusions, acidosis and hypothermia led to enhance efficacy of manual compression of the injured liver and of perihepatic packing and planned reoperation. In survivors this abbreviated laparotomy has pitfalls and complications which must be known, mainly rebleeding and abdominal compartment syndrome. Decision of very early reoperation is most difficult to take.


PMID: 10549008

Other references

Mimitou, E.P.; Symington, L.S., 2011: DNA end resection--unraveling the tail. Homology-dependent repair of DNA double-strand breaks (DSBs) initiates by the 5'-3' resection of the DNA ends to create single-stranded DNA (ssDNA), the substrate for Rad51/RecA binding. Long tracts of ssDNA are also required for activat...

Gray, Philip Howard, 1960: Evidence that retinal flicker is not necessary condition of imprinting. Thirty-six chicks were exposed to motionless geometric objects during the third, fourth, and fifth days of life to test the contention that retinal flicker is an irreducible condition of imprinting. The results indicated that the only necessary co...

Kurochkin Yevgeniy Nikolayevich, 1985: Lower Cretaceous birds from Mongolia and their evolutionary significance. Proceedings of the International Ornithological Congress 18(1): 191-199

Olmer, J.; Paillas, J.; Roger, J.; Muratore, R.; Badier, M., 1952: Lymph node manifestations during methyl-phenyl-ethyl-hydantoin therapy. La Presse Medicale 60(82): 1748-1750

Luna, E., 1934: Nuclei dei nervi encefatici e loro connessioni nei Chirotteri. iii. II nucleo del nervo oculomotore. Archivio Italiano di Anatomia e di Embriologia, 32 ppl 349-362

Raborn, G.W.; McGaw, W.T.; Grace, M.; Tyrrell, L.D.; Samuels, S.M., 1987: Oral acyclovir and herpes labialis: a randomized, double-blind, placebo-controlled study. A study of the effects of oral acyclovir (200 mg), administered five times per day for 5 days in 210 patients who cultured positive for herpes labialis, is made. A total of 149 patients were followed through three episodes each of herpes labialis...

Tayo, F.M., 1984: Fasting reduces the responses of the rat vas deferens to sympathomimetics. The effect of fasting, L-DOPA pretreatment and high glucose medium on the response of the rat vas deferens to sympathomimetics was studied in vitro. The contractile responses of the rat isolated vas deferens were reduced by fasting, the effect bei...

Johnson, A.W.; Demple, B., 1988: Yeast DNA 3'-repair diesterase is the major cellular apurinic/apyrimidinic endonuclease: substrate specificity and kinetics. DNA strand breaks with damaged 3' termini are potentially toxic lesions caused by free radicals. The purified yeast diesterase that removes small nucleotide fragments from such 3' termini in oxidized DNA has been further characterized wi...

Bourget, I.; Breittmayer, J.P.; Grenier-Brossette, N.; Cousin, J.L., 1993: CD20 monoclonal antibodies down-regulate IgM at the surface of B cells. The CD20 molecule is a phosphoprotein expressed on the surface of B lymphocytes that plays a role in the regulation of beta cell proliferation and differentiation. In this study it was found that monoclonal antibodies (mAb) directed to CD20 decrea...

Erdinc, M.; Ocal, A., 1997: Internal thoracic artery spasm and normothermic papaverine. Annals of Thoracic Surgery 64(4): 1219-1220