Golling Markus, Schaudt Andre, Mehrabi Arianeb, Mood Zhoobin A, Bechstein Wolf O
Department of General and Vascular Surgery, Johann Wolfgang Goethe University, Frankfurt, Germany.
Surg Today. 2008;38(2):188-92. doi: 10.1007/s00595-007-3587-4. Epub 2008 Feb 1.
The mainstay of treatment for blunt or sharp liver trauma is conservative in 50%-80% of cases. When surgery is indicated, it is demanding and associated with substantial morbidity and mortality. Felt has been used extensively in cardiothoracic and vascular surgery to seal stitches and exposed surfaces. We describe how we used soft polyglycolic acid (PGA) felt to stop bleeding of a lacerated liver in two patients. To our knowledge, this is the first report of PGA felt being used to repair a lacerated liver. The main advantage of this felt lies in its combined effect of compressing the wound edges and applying a sealant that cannot be washed away. We compare soft PGA felt repair with the standard surgical approaches, including compression with packing or wrapping and local hemostasis with hemostatic felt or fibrin glue.
钝性或锐性肝外伤的主要治疗方法在50%-80%的病例中是保守治疗。当需要进行手术时，手术要求高且伴有较高的发病率和死亡率。毡片已广泛应用于心胸外科和血管外科，用于封闭缝线和暴露的创面。我们描述了如何使用柔软的聚乙醇酸（PGA）毡片来止住两名患者肝裂伤的出血。据我们所知，这是关于使用PGA毡片修复肝裂伤的首例报告。这种毡片的主要优点在于其具有压缩伤口边缘和应用不会被冲走的密封剂的综合效果。我们将柔软的PGA毡片修复方法与标准手术方法进行了比较，标准手术方法包括用填塞物或包裹物进行压迫以及用止血毡片或纤维蛋白胶进行局部止血。
