PMID: 3767479Oct 1, 1986Paper

Management of 1000 consecutive cases of hepatic trauma (1979-1984)

Annals of Surgery
D V FelicianoP A Cruse

Abstract

From 1979 to 1984, 1000 patients with hepatic injuries were treated at one urban trauma center. Penetrating wounds were present in 86.4% of patients. Simple hepatorrhaphy, use of topical hemostatic agents, or drainage alone were the only forms of therapy required in 881 patients, and 65 (7.3%) died. Extensive hepatorrhaphy or hepatotomy with selective vascular ligation, resectional debridement or resection, selective hepatic artery ligation, or perihepatic packing were required, often in combination, in 119 patients, and 40 (33.6%) died. Uncomplicated recoveries occurred in 798 of the 918 patients (86.9%) surviving greater than 48 hours. In the remaining 13.1% of patients, intra-abdominal abscess formation was the most common late complication (32/918 = 3.5%). Mortality for the entire series of 1000 patients was 10.5%, with 78.1% (82/105) of all deaths occurring in the perioperative period from shock or transfusion-related coagulopathies.

References

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Citations

Jun 1, 2010·The Indian Journal of Surgery·Tanweer KarimAnupam Tiwari
Nov 1, 1991·Injury·R H Wilson, R J Moorehead
Jan 1, 1992·Injury·R D SayersK M Porter
May 1, 1993·Injury·P A ShahV V Dewoolkar
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Jul 18, 2002·ANZ Journal of Surgery·Simon A Wemyss-HoldenGuy J Maddern
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Feb 24, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Eldo Ermenegildo Frezza, Mitchell S Wachtel
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Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Elijah Dixon, Janice L Pasieka

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