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2002, Number 3

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Trauma 2002; 5 (3)

Management of hepatic trauma and non-porous plastic membrane

Rodríguez AS, Quintero CE, Escobar PV, Romero LC

Language: Spanish
References: 24
Page: 80-91
PDF size: 201.19 Kb.


ABSTRACT

The hepatic trauma constitutes a great spectrum of lesions, the repair depends on the localization and of the lesion mechanism. Inside the surgical handling of the lesions there are the hepatic packaging, the maneuver of Pringle and the digital fracture. The hepatic packaging should be used when the other procedures to stop the hemorrhage have not been effective in a patient hemodynamically unstable. In this work the clinical files of patients subjected to exploratory laparotomy were revised, in the Hospital Universitario de Puebla, with diagnosis of penetrating wound of the abdomen, deep bruises of abdomen and even a pregnant patient with hepatic rupture. The patients were classified in two groups: group I, those in who the hepatic packaging included the non-porous plastic membrane and the group II in who this membrane was not used. The percentage of complications was bigger, statistically significant, in the group II than in the group I. In general, the hepatic packaging with non-porous plastic membrane presented some advantages: a) smaller previous incision, b) solution is not used to humidify and to remove the compresses, c) minimum risk of bleeding when removing the compresses because they are not in contact with the injured parenchyma, d) removing membrane is extremely easy, e) decrease in important form of the complications during and after the removing.


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