Therapie der Leberverletzung — agressiv oder konservativ

  • M. Varney
  • H. Becker
  • H.-D. Röher
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1993)

Management of Liver Trauma: Aggressive or Conservative

Summary

In a prospective study (1. 7. 86–31.12. 92) liver trauma was seen in 75 poly-traumatized patients, 37 of these belonged to grade I-III (Moore-classification), 38 showed major parenchymal destruction (grade IV-V) in 17 patients associated with injury of hepatic veins and in 9 cases with lesion of retrohepatic vena cava. Surgical treatment involved observation (n = 12), suture (n = 32), suture of the cava (n = 5), resection (n = 22), packing (n = 17, in addition n = 12), no therapy was possible in 4 patients. In major destruction liver packing allone or in addition is appropriated instead of long term reconstruction.

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Literatur

  1. 1.
    Hollands MJ, Little MJ (1990) The role of hepatic resection in the management of blunt liver trauma. World J Surg 14:478PubMedCrossRefGoogle Scholar
  2. 2.
    Moore EE, Eismann B, Dunn EL (1979) Current Management of hepatic trauma. Contemp Surg 15:91Google Scholar
  3. 3.
    Varney M, Becker H, Roher H-D (1990) Prognose und Therapie der Leberverletzung beim polytrau-matisierten Patienten. Chirurg 61:711PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • M. Varney
    • 1
  • H. Becker
    • 1
  • H.-D. Röher
    • 1
  1. 1.Klinik für Allgemeine und UnfallchirurgieHeinrich-Heine-Universität DüsseldorfDüsseldorfDeutschland

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