Sede Azogues - Medicina
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Examinando Sede Azogues - Medicina por Autor "Alao Alao, María Verónica"
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- ÍtemAcceso AbiertoActualización del manejo del trauma hepático grado IV y V(Universidad Católica de Cuenca., 2023) Alao Alao, María Verónica; Urgiles Rivas, Marco Vinicio; 0301955894Abdominal trauma remains a critical health concern, particularly due to its association with liver injuries that significantly contribute to morbidity and mortality. The managing algorithm depends on various factors, including hemodynamic stability, level of consciousness, and the extent of the wounds that traverse the abdominal cavity and involve neighboring organs. Objective: To know the appropriate surgical and non-surgical strategies for managing patients with grade IV and V hepatic trauma. Method: A comprehensive bibliographic review was conducted, involving an extensive search for scientific articles using the virtual platform Google Scholar, which incorporates databases such as PubMed, Uptodate, Medline, and Elsevier, published within the last 5 years. Results: According to the study conducted, the mortality rate of hepatic trauma represents 10-15%, affecting more men, in a ratio of 5-10:1 male to female respectively. CT with contrast is the Gold standard for diagnosis, with a sensitivity and specificity higher than 95%, conservative management has become the first treatment option, regardless of the degree of injury, however, the patient must meet the aforementioned criteria. Conclusions: Currently, conservative management with angioembolization in cases of liver injury involving vascular damage and lacking associated lesions is the recommended approach, as it decreases the risk of complications, irrespective of whether it is a grade IV or V trauma. For patients with hemodynamic instability, signs of peritonitis, or suspected associated lesions with other organs, damage control surgery is performed.