Web〔要旨〕肝損傷に対するperihepatic packing（以下PHP）の具体的手技について，自験例をもとに検討した。症例1は30 代の男性，6階からの墜落で受傷した。腹腔内出血の診断で緊急開腹手術を行い，Ⅲb型肝損傷に対しPHPを施行した。 WebTotal-body spiral CT revealed a contusion of the fourth and eighth hepatic segments until the hilum, a fracture in the middle third of the upper spleen that extended until the hilum, and the perihepatic hematoma, which had no signs of active bleeding from the retroperitoneal large vessels (Figure 1). The Injury Severity Score was 30.

Perihepatic packing of major liver injuries: complications …

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WebPerihepatic packing can be used to tamponade and control hepatic hemorrhage and abbreviate the operation. 20. Our goal was to determine if perihepatic packs increase the risk of intra-abdominal abscesses and bile leaks after major liver injuries, and to determine if the risk of liver-related complications increases the longer packs are left in ... WebPerihepatic packing can be used to tamponade and control hepatic hemorrhage and abbreviate the operation. 20. Our goal was to determine if perihepatic packs increase the … WebThe materials used for liver packing are readily available in the operating suite (Fig. 1 ). Perihepatic Packing. Figure 1. Materials used to achieve hemostasis by liver packing … oysters mandurah