Hepatic Trauma: A 21-year Experience [trauma Hepático: Uma Experiência De 21 Anos]

dc.creatorZago T.M.
dc.creatorPereira B.M.
dc.creatorNascimento B.
dc.creatorAlves M.S.C.
dc.creatorCalderan T.R.A.
dc.creatorFraga G.P.
dc.date2013
dc.date2015-06-25T19:14:47Z
dc.date2015-11-26T15:12:24Z
dc.date2015-06-25T19:14:47Z
dc.date2015-11-26T15:12:24Z
dc.date.accessioned2018-03-28T22:22:28Z
dc.date.available2018-03-28T22:22:28Z
dc.identifier
dc.identifierRevista Do Colegio Brasileiro De Cirurgioes. , v. 40, n. 4, p. 318 - 322, 2013.
dc.identifier1006991
dc.identifier10.1590/S0100-69912013000400011
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84887070872&partnerID=40&md5=a15ae986c147e03e24e732d76ed17c31
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/89137
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/89137
dc.identifier2-s2.0-84887070872
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1258366
dc.descriptionObjective: To evaluate the epidemiological aspects, behavior, morbidity and treatment outcomes for liver trauma. Methods: We conducted a retrospective study of patients over 13 years of age admitted to a university hospital from 1990 to 2010, submitted to surgery or nonoperative management (NOM). Results: 748 patients were admitted with liver trauma. The most common mechanism of injury was penetrating trauma (461 cases, 61.6%), blunt trauma occurring in 287 patients (38.4%). According to the degree of liver injury (AAST-OIS) in blunt trauma we predominantly observed Grades I and II and in penetrating trauma, Grade III. NOM was performed in 25.7% of patients with blunt injury. As for surgical procedures, suturing was performed more frequently (41.2%). The liver-related morbidity was 16.7%. The survival rate for patients with liver trauma was 73.5% for blunt and 84.2% for penetrating trauma. Mortality in complex trauma was 45.9%. Conclusion: trauma remains more common in younger populations and in males. There was a reduction of penetrating liver trauma. NOM proved safe and effective, and often has been used to treat patients with penetrating liver trauma. Morbidity was high and mortality was higher in victims of blunt trauma and complex liver injuries.
dc.description40
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dc.description318
dc.description322
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dc.languageen
dc.languagept
dc.publisher
dc.relationRevista do Colegio Brasileiro de Cirurgioes
dc.rightsaberto
dc.sourceScopus
dc.titleHepatic Trauma: A 21-year Experience [trauma Hepático: Uma Experiência De 21 Anos]
dc.typeArtículos de revistas


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