Cambio en el paradigma del manejo operatorio y no operatorio en trauma hepático, estrategias clave para urgencias en el 2012
DOI:
https://doi.org/10.30944/20117582.259Palabras clave:
hígado, heridas y traumatismos, traumatismos abdominales, laparotomía, procedimientos quirúrgicos operativos, terapéuticaResumen
La experiencia en el manejo del trauma hepático adquirida durante la segunda guerra mundial, así como una mejor compresión de los mecanismos y grados de lesión hepática, llevaron a que en los últimos 25 años se presentara un descenso importante en la mortalidad por este tipo de lesiones; no solo se presentó un cambio radical en el abordaje terapéutico que viró de cirugía indispensable a manejo no operatorio, incluso para lesiones complejas y graves, sino que se implementaron nuevas estrategias terapéuticas no quirúrgicas y quirúrgicas, entre las que se destaca el control de daños. La presente revisión considera un consenso actual sobre las estrategias diagnósticas y terapéuticas más apropiadas para el manejo de estas frecuentes lesiones.
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