Minimally invasive management of blunt hepatic trauma complications

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Francisco Orozco
Araceli N. Quiroga
Florencia Bernardo
Nicolás Crego
Agustín Insausti
Gustavo M. Stork

Abstract

Background: Nonoperative management of blunt hepatic trauma is successful in 95% of hemodynamically stable patients. The complication rate of high-grade injuries is 14% and mortality reaches 27% when they require open surgery.
Material and methods: We conducted a descriptive study of case reports.
Results: Three cases of high-grade hepatic trauma are reported. “A”: initial nonoperative management, laparoscopic lavage due to symptomatic hemoperitoneum, percutaneous drainage of liver abscess, catheter replacement and ERCP due to persistent biliary fistula. “B”: initial damage control surgery without liver resections, percutaneous drainage of liver abscess and catheter replacement. “C”: initial nonoperative management, laparoscopic lavage due to symptomatic hemoperitoneum, percutaneous drainage of liver abscess and catheter replacement. None of the patients died.
Conclusion: These cases summarize the use of different management modalities of blunt hepatic trauma and the possibility of minimally invasive management of the complications.

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How to Cite
Orozco, F., Quiroga, A. N., Bernardo, F., Crego, N., Insausti, A., & Stork, G. M. (2022). Minimally invasive management of blunt hepatic trauma complications. Revista Argentina De Cirugía, 114(2), 155–161. https://doi.org/10.25132/raac.v114.n2.1584
Section
Brief communication

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