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[Balloon tamponade in penetrating liver lesions. Technical note]
A Pellegrino1, I Taronna, G Vento
1Divisione di Chirurgia Generale II, Ospedale José Maria Vargas de Caracas, Università Centrale del Venezuela.
Minerva Chirurgica
|August 12, 1999
Summary
Intraparenchymatous balloon tamponade effectively treats liver transfixing lesions from gunshot wounds. This rapid, simple technique shows good results without postoperative bleeding, making it valuable for trauma care.
Area of Science:
- Surgical Innovation
- Trauma Surgery
- Hepatobiliary Surgery
Context:
- Gunshot wounds frequently cause severe hepatic transfixing lesions.
- Effective management of liver trauma is critical in emergency settings.
- Limited resources in some regions necessitate accessible treatment options.
Purpose:
- To evaluate the utility and effectiveness of intraparenchymatous balloon tamponade for liver transfixing lesions.
- To assess a novel surgical technique for managing hepatic trauma.
- To determine the safety and efficacy of intraoperative balloon tamponade.
Summary:
- A 12-month study involved 12 male patients (average age 22) with hepatic transfixing lesions due to gunshot wounds.
- Intraparenchymatous balloon tamponade was performed using a Nelaton catheter and latex drain, filled with saline and contrast medium.
- The technique yielded good results, with no postoperative bleeding or complications after balloon removal.
Impact:
- Intraparenchymatous balloon tamponade is a safe, rapid, and easy procedure for hepatic transfixing lesions.
- This method is particularly beneficial in emergency departments facing high rates of abdominal trauma.
- It offers a viable solution for managing severe liver injuries in resource-limited settings.