The application of Damage control surgery for severe hepatic trauma

Abstract

Objective To explore the value of damage control surgery(DC S) and To study the experience of the treatment for severe hepatic trauma.Methods A retrospective analysis was done on preference of 18patients with severe hepatic trauma under DCS treatment from Jan,2005 to Sep,2009.Results DCS were performed in all 18 patients,and all patients were performed reoperations after damage control resuscitation therapy in surgical intensive care unit(SICU).The cure rate was 94.4% with 17 cases.The rate of complication incidence was 27.8% (re-bleeding:5.6% with 1 case after reoverations,subphrenic abscess and biliary fistula:5.6% with 1 case,stress ulcer:5.6% with 1 case,biliary fistula:11.1% with 2 cases) ,and all healed by conservative treatments.The mortality rate was 5.6% with 1 case.and it didn't relate to DCS.Conclusion Consideration for DCS should be made positively under DCS indication to severe hepatic trauma patients.According to the difference of location and degree of hepatic injury,choosing eligible reoperations modus is the key management. Key words: Severe hepatic trauma; Damage control surgery