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Wrapping mesh for haemostasis in severe hepatic injury
1Department of General Surgery, Cukurova University Medical Faculty, Adana, Turkey.
Abstract:
All the time, it can not be easy to achieve for haemostasis in liver injuries. Surgical techniques known may fail in major hepatic traumas. This study was performed on nine mongrel dogs to investigate the effectiveness of mesh wrapping technique in severe hepatic injuries. Before surgery, cefotaxime 2 g/day was administered for five days. Anaesthesia was induced with 30 mg/kg thiopental sodium. During the operation, six dogs underwent uniform deep stellate injuries with a haemostatic forceps, three dogs received blunt injuries with a surgical hammer, and finger fracture technique was used to produce injuries in the right lobes of the livers. Then total wrap technique was performed with a cotton mesh graft. All dogs survived. This high survival rate shows that, total wrap technique is effective for haemostasis of severe hepatic injuries.