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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
CONFERENCES SMART 2002 Milan, May 29-31, 2002
Minerva Anestesiologica 2002 April;68(4):132-7
Nonoperative management of blunt hepatic trauma
Létoublon C., Arvieux C.
From the Universitary Hospital of Grenoble Hopital Michallon, Grenoble, France
Over the past 15 years, there have been dramatic changes in the management of blunt hepatic trauma, specifically in the imaging techniques, and in the non-operative management. Actually, in more than 80% of blunt hepatic trauma, non operative management is used. In the last 20% the surgical option has to be taken without delay, sometimes in extreme emergency, using the adapted surgical techniques. In this article the author describes the nonoperative management of blunt hepatic trauma: classification, presentation, initial decision, treatment, possible complications and results.