Blunt Hepatic Trauma: Comparison Between Surgical And Nonoperative Treatment.

dc.creatorZago, Thiago Messias
dc.creatorPereira, Bruno Monteiro
dc.creatorCalderan, Thiago Rodrigues Araujo
dc.creatorHirano, Elcio Shiyoiti
dc.creatorRizoli, Sandro
dc.creatorFraga, Gustavo Pereira
dc.date
dc.date2015-11-27T13:28:51Z
dc.date2015-11-27T13:28:51Z
dc.date.accessioned2018-03-29T01:16:00Z
dc.date.available2018-03-29T01:16:00Z
dc.identifierRevista Do Colégio Brasileiro De Cirurgiões. v. 39, n. 4, p. 307-13
dc.identifier1809-4546
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/22936230
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/200173
dc.identifier22936230
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1300406
dc.descriptionTo examine the outcomes of blunt hepatic trauma, and compare surgical and non-surgical treatment in patients admitted with hemodynamic stability and with no obvious indications of laparotomy. This is a retrospective study of cases admitted to a university teaching hospital between the years 2000 and 2010. Patients undergoing surgical treatment were divided into two groups: (a) all patients undergoing surgical treatment, and (b) patients with obvious need for surgery. In this period, 120 patients were admitted with blunt hepatic trauma. Sixty five patients (54.1%) were treated non-operatively and fifty five patients were operated upon. Patients treated non-operatively had better physiologic conditions on admission, demonstrated less severe injuries (except the grade of hepatic injury), received less blood components and had lower morbidity and mortality than the patients operated upon. Patients who underwent non-operative treatment had a lower need for blood transfusion but higher rates of complications and mortality than the patients operated upon. Patients who were operated upon, with no obvious indications for surgery, had higher rates of complication and mortality than patients not operated upon. A non-operative approach resulted in lower complications, a lower need for blood transfusions and lower mortality.
dc.description39
dc.description307-13
dc.languageeng
dc.languagepor
dc.relationRevista Do Colégio Brasileiro De Cirurgiões
dc.relationRev Col Bras Cir
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectFemale
dc.subjectHumans
dc.subjectLiver
dc.subjectMale
dc.subjectRetrospective Studies
dc.subjectTreatment Outcome
dc.subjectWounds, Nonpenetrating
dc.titleBlunt Hepatic Trauma: Comparison Between Surgical And Nonoperative Treatment.
dc.typeArtículos de revistas


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