Tamponing in severe liver injuries (two clinical cases)

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Abstract

Favorable outcomes of surgical treatment of two patients with blunt liver damage of IV degree according to E. Moore as part of polytrauma are presented. In conditions of unstable hemodynamics and extremely severe state of the patient, the authors used a method of liver damage tamponing with a single tampon material (cotton surgical sheet) as an initial hemostasis. The applied method of liver damage tamponing helps to achieve a stable initial hemostasis, it does not require a highly-qualified surgical team and can be used in second- and third-level trauma centers.

About the authors

Yu. G. Shapkin

Saratov State Medical University named after V. I. Razumovsky

Email: andreykatal@rambler.ru
ORCID iD: 0000-0003-0186-1892

DSc (Medicine), Professor, Head of the Department of General Surgery

Russian Federation, Saratov

Yu. V. Chalyk

Saratov State Medical University named after V. I. Razumovsky

Email: andreykatal@rambler.ru
ORCID iD: 0000-0002-5872-287X

DSc (Medicine), Professor, Professor of the Department of General Surgery

Russian Federation, Saratov

N. Yu. Stekolnikov

Saratov State Medical University named after V. I. Razumovsky

Email: andreykatal@rambler.ru
ORCID iD: 0000-0002-1407-8744

PhD (Medicine), Associate Professor of the Department of General Surgery

Russian Federation, Saratov

A. E. Katalnikov

Saratov State Medical University named after V. I. Razumovsky

Author for correspondence.
Email: andreykatal@rambler.ru

Degree Candidate of the Department of General Surgery

Russian Federation, Saratov

V. V. Ashevskiy

Saratov State Medical University named after V. I. Razumovsky

Email: andreykatal@rambler.ru
ORCID iD: 0000-0001-6556-8754

Assistant of the Department of General Surgery

Russian Federation, Saratov

References

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2. Fig. Subhepatic tamponing of sheets. The view before removing the tampon

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