Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Uranüs, S; Mischinger, HJ; Pfeifer, J; Kronberger, L; Rabl, H; Werkgartner, G; Steindorfer, P; Kraft-Kirz, J.
Hemostatic methods for the management of spleen and liver injuries.
World J Surg. 1996; 20(8):1107-1111
Doi: 10.1007/s002689900169
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- Führende Autor*innen der Med Uni Graz
- Uranüs Selman
- Co-Autor*innen der Med Uni Graz
- Kronberger Leo
- Mischinger Hans-Jörg
- Pfeifer Johann
- Werkgartner Georg
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- Abstract:
- The spleen and liver are the most frequently injured organs during blunt and penetrating abdominal trauma. Emergency laparotomy is crucial for early control of bleeding and to prevent "secondary" injury as a result of physiologic splanchnic vasoconstriction and free oxygen radicals. Altogether 98 patients with spleen and liver injuries were treated over an 8-year period. Primary orthotopic spleen preservation could be achieved in 46 of 63 patients. In 58 patients with hepatic trauma, hemostatic treatment was chosen based on the severity of the injury. Nonoperative management was used for four splenic and seven hepatic trauma patients. The most commonly used techniques were fibrin sealing, suturing, and débridement for hepatic injury and mesh splenorrhaphy, fibrin glue, and partial resection with a TA stapler for splenic injury. The death of patients with complex injuries was mainly due to preclinical massive blood loss and multiple organ failure.
- Find related publications in this database (using NLM MeSH Indexing)
- Hemostatic Techniques -
- Humans -
- Liver - injuries Liver - surgery
- Organ Preservation - methods
- Retrospective Studies -
- Spleen - injuries Spleen - surgery
- Splenectomy -
- Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - therapy
- Wounds, Penetrating - diagnosis Wounds, Penetrating - mortality Wounds, Penetrating - therapy