[Peculiarities of laparoscopic diagnosis of the closed hepatic traumatic damage].

Abstract

Diagnostic possibilities of laparoscopy were studied in 24 injured persons, suffering closed hepatic damage in noninformity of results of clinical, laboratory-biochemical, roentgenologic, ultrasound investigations and diagnostic peritoneal lavage as well, were studied. Isolated trauma was revealed in 8 injured persons, the multiple one in 7 and the combined--in 9. Open operation was performed in 21 patients, relaparotomy--in 3, laparoscopic intervention with curative intent--in 3 hepatic wound tamponade, using hemostatic sponge with ambene, lubricated by dicinon. Three patients died due to severe combined trauma.

• Authors: A A Kapshitar', A V Kapshitar', I F Syrbu
• Journal: Klinichna khirurhiia (Klin Khir) Issue 1 Pg. 25-7 (Jan 2008) ISSN: 0023-2130 [Print] Ukraine
• PMID: 18613327 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Female
• Humans
• Laparoscopy
• Liver (injuries)
• Male
• Middle Aged
• Trauma Severity Indices
• Wounds, Nonpenetrating (diagnosis, surgery)