caa a22 4500 477036155 CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900169 doi (NATIONALLICENCE)springer-10.1007/s002689900169 Hemostatic Methods for the Management of Spleen and Liver Injuries [Elektronische Daten] [Selman Uranüs, Hans-Jörg Mischinger, Johann Pfeifer, Jr., Leo Kronberger, Hans Rabl, Georg Werkgartner, Peter Steindorfer, Julius Kraft-Kirz] Abstract. The spleen and liver are the most frequently injured organs during blunt and penetrating abdominal trauma. Emergency laparotomy is crucial for early control of bleeding and to prevent "secondary” injury as a result of physiologic splanchnic vasoconstriction and free oxygen radicals. Altogether 98 patients with spleen and liver injuries were treated over an 8-year period. Primary orthotopic spleen preservation could be achieved in 46 of 63 patients. In 58 patients with hepatic trauma, hemostatic treatment was chosen based on the severity of the injury. Nonoperative management was used for four splenic and seven hepatic trauma patients. The most commonly used techniques were fibrin sealing, suturing, and débridement for hepatic injury and mesh splenorrhaphy, fibrin glue, and partial resection with a TA stapler for splenic injury. The death of patients with complex injuries was mainly due to preclinical massive blood loss and multiple organ failure.: 1996 by the Société Internationale de Chir, ugie Uranüs Selman Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Mischinger Hans-Jörg Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Pfeifer Johann Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Kronberger Jr., Leo Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Rabl Hans Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Werkgartner Georg Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Steindorfer Peter Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Kraft-Kirz Julius Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut https://doi.org/10.1007/s002689900169 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900169 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Uranüs Selman Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Mischinger Hans-Jörg Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Pfeifer Johann Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Kronberger Jr., Leo Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Rabl Hans Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Werkgartner Georg Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Steindorfer Peter Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Kraft-Kirz Julius Department of Surgery, University Surgical Clinic, Karl-Franzens University, Auenbruggerplatz 29, A-8036 Graz, Austria, AT aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer