TREATMENT OF HEPATIC-TRAUMA WITH PERIHEPATIC MESH - 35 CASES

In a series of 61 trauma cases, 35 liver injuries (Moore's classes 2 t o 5) were repaired using a polyglactin 910 perihepatic prosthesis. Two deaths (one coma, one avulsion of the inferior vena cava) were observ ed. Two centrohepatic hematomas were successfully treated by percutane ous needle aspiration. No hemobilia and no abscess of the liver occurr ed. Rapidly obtained hemostasis and cholestasis result in a large savi ngs of blood. Progressive disappearance of the lesions was observed wi th repeat CT scanning until full recovery of the parenchyma was achiev ed. This was verified by biopsy and histologic examination and also by means of specific hepatic function tests.