Use of Sengstaken-Blakemore intrahepatic balloon: an alternative for liver-penetrating injuries.

World Journal of Surgery
Gustavo Pereira FragaHenrique Jose Virgili Silveira

Abstract

Severe lesions in the liver are associated with a high mortality rate. Alternative surgical techniques such as the use of an intrahepatic balloon may be effective and reduce mortality in severe hepatic lesions. This study aimed to demonstrate the experience of a university hospital in the use of the Sengstaken-Blakemore balloon in patients with transfixing penetrating hepatic injury as an alternative way to treat these challenging injuries. A retrospective study based on the trauma registry of a university hospital was performed. All patients admitted with hepatic penetrating injuries and treated with the Sengstaken-Blakemore balloon within the period 1990-2010 were reviewed. Forty-six patients with transfixing hepatic injuries were treated with the Sengstaken-Blakemore balloon in the study period. The most frequent cause of injury was gunshot wound (87 % of the patients). The mean trauma scores on admission were Revised Trauma Score (RTS) = 7.12 ± 1.46, Injury Severity Score (ISS) = 22.4 ± 9.7, and Abdominal Trauma Index (ATI) = 19.5 ± 11. According to the severity of the hepatic trauma, 71.8 % of patients had grade III, 23.9 % grade IV, and 4.3 % grade V injuries. Associated abdominal injuries were found in 89.1 % of the pati...Continue Reading

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Citations

Aug 21, 2016·Journal of Visceral Surgery·E J VoiglioC Arvieux
Nov 1, 2013·Revista do Colégio Brasileiro de Cirurgiões·Thiago Messias ZagoGustavo Pereira Fraga
Oct 4, 2018·World Journal of Surgery·Lisa M KodadekElliott R Haut

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