Author/Editor		Gadžijev, E; Wahl, M; Grkman, J
Title		Poškodbe jeter - smernice za zdravljenje in pregled stanja v Sloveniji
Translated title		Liver trauma - trends in treatment and current status in Slovenia
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 63, št. 5
Publication year		1994
Volume		str. 315-9
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 worldwide and the mortality of high stage liver trauma remains from 6O to 100 per cent. Symptoms and signs in patients with liver trauma can vary considerably and depend on the extent 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 conservativelly or surgically. The extent of diagnostics is determined and possibly limited by the patient's general condition and the availability of the necessary equipment and trained staff were seems to be a general trend in the management of liver trauma towards conservative treatment of hemodinamically stable patients with less severe trauma as well as using less agressive surgical methods (temporary hot packs, sutures, clips, coagulation) for low stage trauma and promotion of temporary perihepatic packing instead of urgent resection for major trauma and for patients whose general condition mandates immediate haemostasis. Results and conclusions. Basic data about sex, mechanism of injury diagnostics, treatment complications and survival of 230 patients treated for the trauma of liver pancreas and biliary system in Slovenia from 1985 to 1989 are presented. Some striking differences according to world reports and suggestions for the improvements of liver trauma management in Slovenia are discussed.
Descriptors		LIVER WOUNDS AND INJURIES