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Post a Comment Tamponing in severe liver injuries (two clinical cases)
- Authors: Shapkin Y.G.1, Chalyk Y.V.1, Stekolnikov N.Y.1, Katalnikov A.E.1, Ashevskiy V.V.1
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Affiliations:
- Saratov State Medical University named after V. I. Razumovsky
- Issue: Vol 41, No 4 (2024)
- Pages: 148-152
- Section: Clinical case
- URL: https://bakhtiniada.ru/PMJ/article/view/267885
- DOI: https://doi.org/10.17816/pmj414148-152
- ID: 267885
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Abstract
Favorable outcomes of surgical treatment of two patients with blunt liver damage of IV degree according to E. Moore as part of polytrauma are presented. In conditions of unstable hemodynamics and extremely severe state of the patient, the authors used a method of liver damage tamponing with a single tampon material (cotton surgical sheet) as an initial hemostasis. The applied method of liver damage tamponing helps to achieve a stable initial hemostasis, it does not require a highly-qualified surgical team and can be used in second- and third-level trauma centers.
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##article.viewOnOriginalSite##About the authors
Yu. G. Shapkin
Saratov State Medical University named after V. I. Razumovsky
Email: andreykatal@rambler.ru
ORCID iD: 0000-0003-0186-1892
DSc (Medicine), Professor, Head of the Department of General Surgery
Russian Federation, SaratovYu. V. Chalyk
Saratov State Medical University named after V. I. Razumovsky
Email: andreykatal@rambler.ru
ORCID iD: 0000-0002-5872-287X
DSc (Medicine), Professor, Professor of the Department of General Surgery
Russian Federation, SaratovN. Yu. Stekolnikov
Saratov State Medical University named after V. I. Razumovsky
Email: andreykatal@rambler.ru
ORCID iD: 0000-0002-1407-8744
PhD (Medicine), Associate Professor of the Department of General Surgery
Russian Federation, SaratovA. E. Katalnikov
Saratov State Medical University named after V. I. Razumovsky
Author for correspondence.
Email: andreykatal@rambler.ru
Degree Candidate of the Department of General Surgery
Russian Federation, SaratovV. V. Ashevskiy
Saratov State Medical University named after V. I. Razumovsky
Email: andreykatal@rambler.ru
ORCID iD: 0000-0001-6556-8754
Assistant of the Department of General Surgery
Russian Federation, SaratovReferences
- Martellotto S., Melot C., Raux M. Depacked patients who underwent a shortened perihepatic packing for severe blunt liver trauma have a high survival rate: 20 years of experience in a level I trauma center. Surgeon. 2022; 20 (3): e20–e25. doi: 10.1016/j.surge.2021.04.012
- Doklestić K., Stefanović B., Gregorić P., Ivančević N., Lončar Z., Jovanović B., Bumbaširević V., Jeremić V.,. Vujadinović T.S., Stefanović B., Milić N., Aleksandar Karamarković A. Surgical management of AAST grades III–V hepatic trauma by Damage control surgery with perihepatic packing and Definitive hepatic repair–single centre experience. World Journal of Emergency Surgery. World Journal of Emergency Surgery 2015; 10: 34.
- Moore E.E., Shackford S.R., Pachter H.L., McAninch J.W., Browner B.D., Champion H.R., Flint L.M., Gennarelli T.A., Malangoni M.A., Ramenofsky M.L. Organ injury scaling: spleen, liver, and kidney. J Trauma. 1989; 29 (12): 1664–6.
- Coccolini F., Coimbra R., Ordonez C., Kluger Y., Vega F., Moore E.E., Biffl W., Peitzman A., Horer T., Abu-Zidan F.M., Sartelli M., Fraga G.P., Cicuttin E., Ansaloni L., Parra M.W., Millán M., DeAngelis N., Inaba K., Velmahos G., Maier R., Khokha V., Sakakushev B., Augustin G., di Saverio S., Pikoulis E., Chirica M., Reva V., Leppaniemi A., Manchev V., Chiarugi M., Damaskos D., Weber D., Parry N., Demetrashvili Z., Civil I., Napolitano L., Corbella D., Catena F. WSES expert panel. Liver trauma: WSES 2020 guidelines. World J Emerg Surg. 2020; 15 (1): 24. doi: 10.1186/s13017-020-00302-7.
- Lin B.C., Fang J.F., Chen R.J., Wong Y.C., Hsu Y.P. Injury Surgical management and outcome of blunt major liver injuries: experience of damage control laparotomy with perihepatic packing in one trauma center. 2014; 45 (1): 122–7. doi: 10.1016/j.injury.2013.08.022.
- Shapkin Yu.G., Chalyk Yu.V., Kuzyaev T.R. Method of liver plugging in case of injury. Perm Medical Journal 2022; 39 (2): 80–85. doi: 10.17816/pmj39280-85
- Jung K., Kim Y., Heo Y., Lee J.CJ., Youn S.H., Moon J., Kim J., Kim T.Y., Kim B., Wang H. Management of severe blunt liver injuries by applying the damage control strategies with packing-oriented surgery: experiences at a single institution in Korea. Hepatogastroenterology. 2015; 62 (138): 410–6.
- Ермолов А.С., Абакумов М.М., Владимирова Е.С. Травма печени. М.: Медицина 2003. EDN QLESCN / Ermolov A.S., Abakumov M.M., Vladimirova E.S. Liver injury. Moscow: Medicine 2003; 192 (in Russian).
- Rezende-Neto J., Doshi S., Gomez D., Camilotti B., Marcuzzi D., Beckett A. A novel inflatable device for perihepatic packing and hepatic hemorrhage control: A proof-of-concept study. Injury. 2022; 53 (1): 103–111. doi: 10.1016/j.injury.2021.08.027
- Roberts D.J., Ball C.G., Feliciano D.V., Moore E.E., Ivatury R.R., Lucas C.E., Fabian T.C., Zygun D.A., Kirkpatrick A.W., Stelfox H.T. History of the Innovation of Damage Control for Management of Trauma Patients: 1902–2016. Ann Surg. 2017; 265 (5): 1034–1044. doi: 10.1097/SLA.0000000000001803.
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