The first experience of using modified packaging in a patient with traumatic liver injury (clinical case)

Abstract

The treatment of traumatic liver injuries is one of the urgent problems of urgent surgery. In the structure of injuries in abdominal trauma, liver damage is in second place, second only to damage to the spleen. However, the highest mortality rates of 14-58% in patients with closed abdominal trauma are due to severe liver damage, which is due to massive intra-abdominal, difficult-to-control bleeding and the development of hepatic cell insufficiency in the postoperative period. This article describes the first experience of using modified packaging in combination with tamponade of a liver wound with hemostatic absorbable material Surgitamp and granular sorbent Molselect G-50 in patient S., 56 years old, with extensive traumatic central hematoma of the right lobe of the liver with capsule rupture and massive intra-abdominal bleeding. As shown by the present clinical observation, the use of the developed technique of surgical hemostasis of severe traumatic liver injuries allows to improve the results of treatment of patients: to ensure reliable stop of bleeding, to avoid repeated relaparotomy, to stabilize the patient's condition early.