Author/Editor		Gadžijev, Eldar M; Wahl, Miloš
Title		Poškodbe jeter
Translated title		Liver injury
Type		članek
Source		In: Repše S, Stanisavljevič D, editors. Zbornik simpozija Kirurgija jeter in vranice; 2004; Ljubljana. Ljubljana: Kirurška šola, Klinični oddelek za obdominalno kirurgijo,
Publication year		2004
Volume		str. 24-34
Language		slo
Abstract		Background and methods. Despite improvements in diagnostics, intensive care and monitoring, knowledge on functional liver anatomy and physiology as well as surgical techniques, liver trauma still presents a serious surgical problem. Its frequency increases world wide and the mortality of high stage liver trauma remains from 60 to 100 percent. Symptoms and signs in patients with liver trauma can vary considerably and depend on the extend and severity of liver trauma and the number and the nature of the concomitant injuries. Associated injuries are the main cause of mortality and serious complications in patients with less severe liver damage. Patients with liver trauma usually need urgent resuscitation, assessment, intensive care therapy and appropriate decision whether to treat them conservatively or surgically. The extent of diagnostics is determined and possibly limited by the patients general condition and the availability of the necessary equipment and trained staff. Current trends in treatment of patients with liver trauma are conservative management of hemodinamically stable patients with less severe trauma, less agressive surgical methods (temporary hot packs, sutures, clips, coagulation) for low stage trauma, use of perihepatic packing as a temporary measure in transferred patients and during operation and increasing number of anatomical liver resections that are carried out in specialised hepatobiliary and transplantation units.
Descriptors		LIVER HEPATECTOMY WOUNDS, PENETRATING WOUNDS, NONPENETRATING