[The surgical procedure in gunshot wounds of the liver].

Abstract

An experience with treatment of 133 patients with gunshot wounds of the liver has shown that the optimum method of completing the surgical treatment of the gunshot wound of the liver is tamponade of it with the omentum on the pedicle and drainage of the subhepatic space, for extensive injuries of the liver the external decompression of bile ducts is necessary. Reinfusion of blood is safe in patients with injuries of the liver and is considered to be the most effective method to fill up the blood loss. The use of radionuclide methods and rheohepatography can give a sufficiently objective picture of the functional state of the liver in dynamics of the wound process. Long-term results of treatment of gunshot wounds of the liver are not considered to be satisfactory.

• Authors: P N Zubarev, A G Arustamov
• Journal: Vestnik khirurgii imeni I. I. Grekova (Vestn Khir Im I I Grek) 1992 Sep-Oct Vol. 149 Issue 9-10 Pg. 231-7 ISSN: 0042-4625 [Print] Russia (Federation)
• Vernacular Title: Khirurgicheskaia taktika pri ognestrel'nykh raneniiakh pecheni.
• PMID: 1341405 (Publication Type: English Abstract, Journal Article)

Topics

• Follow-Up Studies
• Humans
• Liver (injuries, surgery)
• Liver Circulation
• Liver Function Tests
• Peritonitis (etiology, prevention & control)
• Treatment Outcome
• Wounds, Gunshot (complications, diagnosis, epidemiology, surgery)