The Journal of Trauma: Injury, Infection, and Critical Care · 1994 · 29 citations · 0 references
MedicinePathologySurgeryEmergency SurgeryHepatologyHistopathologyAbdominal TraumaHepatic PathologyHepatobiliary SurgeryLiver BiopsyLiver DiseaseLiver ImagingBlunt Liver InjuryHepatic Function TestsHistologic ExaminationLiver Injury ManagementLiver SurgeryLiver Trauma SurgeryNeedle Aspiration BiopsyNeedle Aspiration Technique
In a series of 61 trauma cases, 35 liver injuries (Moore's classes 2 to 5) were repaired using a polyglactin 910 perihepatic prosthesis. Two deaths (one coma, one avulsion of the inferior vena cava) were observed. Two centrohepatic hematomas were successfully treated by percutaneous needle aspiration. No hemobilia and no abscess of the liver occurred. Rapidly obtained hemostasis and cholestasis result in a large savings of blood. Progressive disappearance of the lesions was observed with repeat CT scanning until full recovery of the parenchyma was achieved. This was verified by biopsy and histologic examination and also by means of specific hepatic function tests.