Late complications of liver trauma

about 239 observations

Authors

  • Edgardo Torterolo
  • Guillermo Piacenza
  • Guaymirán Ríos Bruno
  • Guillermo Casanello
  • Juan C Castiglioni
  • José P Perrier
  • Jorge de Vecchi
  • Rodolfo Saccone

Keywords:

liver traumatisms, complications

Abstract

The present work carries out a retrospective review of the secondary complications of hepatic injuries. Out of a group of 239 cases, 67 cases labelled :as severe or
complex were selected: 42 blunt injuries, 20 gunshot wounds, and 5 stab wounds: Forty six ( 63 % ) were hospitalized with elements of circulatory failure and
31 of the latter ( 67 % ) were actively bleeding at the time of laparotomy. Bursting and deep fractures of the
parenchyma had a very high morbi-mortality. Delayed post-operative deaths were related to bilio-hematic peritonitis, infection of sequestra or hematomas, with sepsis and acute renal failure. In these circumstances, a conservative surgical management resulted in a very high percentage of complicatlons. Resections somewhat
preserved from these secondary complications. When the contuslon focus is not feasible to resect, the post-operative course must be led with aggressive criterion, in order to have early detection and treatment of eventual complications.

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Published

1975-02-22

How to Cite

1.
Torterolo E, Piacenza G, Ríos Bruno G, Casanello G, Castiglioni JC, Perrier JP, de Vecchi J, Saccone R. Late complications of liver trauma: about 239 observations. Cir. Urug. [Internet]. 1975 Feb. 22 [cited 2024 May 15];45(3):181-4. Available from: https://revista.scu.org.uy/index.php/cir_urug/article/view/2562

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Original Article

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