Use of pedicled omentum as an autogenous pack for control of hemorrhage in major injuries of the liver.
Use of pedicled omentum as an autogenous pack for control of hemorrhage in major injuries of the liver.
复制标题
使用带蒂大网膜作为自体包来控制肝脏严重损伤的出血。
DOI：
10.1097/00005373-197511000-00018
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发表时间：
1975
期刊：
影响因子：
--
通讯作者：
J. Lamb
中科院分区：
文献类型：
--
作者：
H. Stone;J. Lamb
由于外伤性肝脏大出血通常是由于深部肝静脉破裂所致，因此修复或切除手术很少实用。相反，在完成适当的清创后，可以通过基于其各自的胃网膜血管将自体网膜填塞到肝骨折折痕中来快速有效地控制这种静脉出血。然后缝合肝脏边缘，并安装污水排放系统。在37例患者中使用该技术的经验证明了其几乎一致的成功。
Since massive hemorrhage from the traumatized liver is usually caused by disruption of the deeply situated hepatic veins, repair or resection is seldom practical. Instead, after appropriate debridement has been accomplished, such venous bleeding can rapidly and effectively be controlled by packing autogenous omentum, based on its respective gastroepiploic vessels, into the hepatic fracture crease. The liver edges are then oversewn, and sump drainage is installed. An experience with the use of this technique in 37 patients has demonstrated its almost uniform success.