Trauma hepatico pdf 2016

The anatomic location and the size of the liver make the organ even more susceptible to trauma and frequently in penetrating injuries. Pdf liver transplantation after severe hepatic trauma. Trauma hepatico historia inicios del siglo xx tratamiento del traumatismo hepatico no quirurgico muerte en las primeras 24 hshemostasia espontanea mortalidad del 65% 1908 pringle. Ct in blunt liver trauma, radiografics, 2005 trauma. Liver is a solid organ with the highest injury rate in abdominal injury. Mortality and graft loss rates at 90 days were set as primary and secondary outcome measures, respectively. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the.

Treatment strategy for hepatic trauma pubmed central pmc. Currently, the treatment in most cases is nonoperative, but surgery may be. Oct 10, 2016 the severity of liver injuries has been universally classified according to the american association for the surgery of trauma aast grading scale. The liver is the most injured organ in abdominal trauma. Development in the diagnosis and management of liver trauma was followed in recent years by decline in mortality, which is attributable to improved diagnostic methods, the principle of damage control surgery and the number of operated patients is shrinking. Pdf to evaluate the epidemiological aspects, behavior, morbidity and treatment outcomes for liver trauma. Complex liver injuries carry high morbidity and mortality ranging between 40 and 80%. Scribd is the worlds largest social reading and publishing site. Thus the management of liver trauma is ultimately based on the anatomy of the injury and the physiology of the patient. Of injuries in general, renal trauma represent about 1% 5% of cases, and the kidney is the genitourinary and abdominal organ injured more often. In ordertoachieve a minimally invasive treatment it is necessary to control endoscopic, percutaneous and laparoscopic technics. The management depends on the clinical status of the patient. The severity of liver injuries has been universally classified according to the american association for the surgery of trauma aast grading scale.

Ct is also useful in the assessment of delayed complications in blunt liver trauma, including delayed hemorrhage, hepatic or perihepatic abscess, posttraumatic pseudoaneurysm and hemobilia, and biliary complications such as biloma and bile peritonitis. To report a case of bile leak after liver trauma which has been treated in a minimally invasive. Introduction hepatic trauma occurs in approximately 5% of all admissions in emergency rooms1. Nonsurgical management after blunt traumatic liver injuries. Moore3, rao ivatury4, walter biffl5, andrew peitzman6, raul coimbra7, sandro rizoli8, yoram kluger9, fikri m. Motor vehicle accidents are the most common etiology for. Surgery wses classification of liver trauma and the management guidelines. Wses classification and guidelines for liver trauma world journal. This paper presents the world society of emergency surgery wses classification of liver trauma and the management guidelines. Development in the diagnosis and management of liver trauma was followed in recent years by decline in mortality, which is. We perform the initial resuscitation, diagnostic evaluation, and management of the trauma patient with blunt or penetrating trauma based upon protocols from the advanced trauma life support atls program, established by the american college of surgeons committee on trauma. Abuzidan10, marco ceresoli1, giulia montori1, massimo sartelli11, dieter weber12, gustavo fraga, noel naidoo14, frederick a.

Apr 05, 2010 descripcion del diagnostico y tratamiento del trauma hepatico, y su clasificacion. Descargue como pptx, pdf, txt o lea en linea desde scribd. Review open access wses classification and guidelines for liver trauma federico coccolini1, fausto catena2, ernest e. Liver trauma, minor, moderate, severe, classification, guidelines, surgery, hemorrage. To describe the characteristics of patients with liver trauma in the intensive care unit of our hospital, and the causes, severity scales, diagnoses, and treatments of these injuries, as well as length of hospital stay, morbidity and mortality. Wses classification and guidelines for liver trauma. Development in the diagnosis and management of liver trauma was followed in recent years by decline in mortality, which is attributable to improved diagnostic methods.

Download as pptx, pdf, txt or read online from scribd. The renal trauma can be life threatening in the short. Revision trauma hepatico clasificacion especialidades. In determining the optimal treatment strategy, however, the haemodynamic status and associated injuries should be considered. An observational, descriptive and retrospective study was performed on patients with hepatic trauma admitted to our department from january 2006 to march 2010. Wses classification and guidelines for liver trauma world. Ctbased classification and correlation with prognosis and treatment. Hepatic injury takes the third place in abdominal injury and 80%90% of hepatic injuries are blunt ones. Liver trauma abstract the liver is the largest organ in the abdomen, that makes it highly vulnerable in blunt and penetrating abdominal trauma.

The bile leak after liver trauma represent a complex problem, being necessary the multidisciplinary treatment. Results mortality and graft loss rates at 90 days were 42. Diagnostico, manejo y tratamiento del paciente con traumatismo hepatico author. Descripcion del diagnostico y tratamiento del trauma hepatico, y su clasificacion. Epidemiological evaluation of hepatic trauma victims.