We describe our 10 year-experience in trealment of severe liver traumatic Injuries with selective extrahepatic arterial occluslon. Thls procedure done In 13 patients; lt was successful In 12 cases and falled In only 1 case. Post-operative hepatic complications were 23%; among the extrahepatic complicatlons, respiratory complications were 61.3%. Mortallty was caused by continuous hepatic bleeding In 7.6% of the patients; pancreatitis and neurologic injuries were the cause of death In 15.2 % or the cases. These experience proved that this procedure or hepatic hemostasis is highly reliable, associated to low-mortality, quickly, and applies either to inaccessible penetrating or nonpenetrating hepatic injuries, and also to those associated with gut injury. Besides, this procedure could be used when other hemostatlc methods have failed. Thls procedure can be developed by any trained surgeon an...

Se realizó un estudio clínico, de asignación aleatoria, abierto (no ciego) para comparar la eficacia, en la disminución del Riesgo de Infección, de la aplicación de Azúcar de caña granulado (ACG) vs solución de yodopovidona al 10% (YP), de Herida operatoria en pacientes con Peritonitis Generalizada por Apendicitis Aguda (PGAA). Métodos: Entre 1991 y 1996 se incluyeron a estudio 135 sujetos con diagnóstico de PGAA, intervenidos quirúrgicamente en el Hospital Nacional Cayetano Heredia. Los pacientes fueron asignados aleatoriamente a recibir (ACG) o (YP) en la Herida Operatoria. Resultados: Ambos grupos fueron estadísticamente comparables en sus características basales como género, edad, promedio de volumen de exudado purulento libre en cavidad peritoneal aspirado, volumen de solución salina al 0.9% usado para el lavado de cavidad peritoneal y en el tiempo operatorio....

We describe our 10 year-experience in trealment of severe liver traumatic Injuries with selective extrahepatic arterial occluslon. Thls procedure done In 13 patients; lt was successful In 12 cases and falled In only 1 case. Post-operative hepatic complications were 23%; among the extrahepatic complicatlons, respiratory complications were 61.3%. Mortallty was caused by continuous hepatic bleeding In 7.6% of the patients; pancreatitis and neurologic injuries were the cause of death In 15.2 % or the cases. These experience proved that this procedure or hepatic hemostasis is highly reliable, associated to low-mortality, quickly, and applies either to inaccessible penetrating or nonpenetrating hepatic injuries, and also to those associated with gut injury. Besides, this procedure could be used when other hemostatlc methods have failed. Thls procedure can be developed by any trained surgeon an...