Recovery of Liver Function After Surgical Procedure of Penetrative and Nonpenetrative Liver Injury - Zdravlje, medicina, lijecenje, zdravstveni portal

Recovery of Liver Function After Surgical Procedure of Penetrative and Nonpenetrative Liver Injury

Recovery of Liver Function After Surgical Procedure of Penetrative and Nonpenetrative Liver Injury
Emir Rahmanovic, Zijah Rifatbegovic
Med Arh. 2012; 66(3): 166-168

View PDF Fulltext

Abstract

Aims: Determination of degree of liver function damadge after non-pentrative and penetrative injury as well as degree of postoperative recovery of liver function after surgical procedure of penetrative and non-penetrative injury. Methods: 60 patients were analised by retrospective-prospective study after surgery performed on University-clinical centre Tuzla in period from march 2008 to june 2011, out of which 30 of them were surgicaly treated for non-penetrative and 30 for penetrative liver injury. All patients were determined for values of total billirubine, direct billirubine, albumins, aspartat aminotransferasis (AST), alanin aminotransferasis (ALT) in preoperative period and in two weeks of postoperative recovery. In statistical data processing T-test of independent variables was used along with methods of descriptive statistical analysis. the difference on level p < 0,05 is statisticaly signifficant. Results: Signifficant difference of values in direct billirubine, total proteins, albumins, AST, ALT was found by analysis of paremeters in liver function in preoperative period and among values in total and direct billirubine, total proterins, albumins, AST, ALT on 7th and 15th postoperative day among tested groups. Conclusion: Liver function damadge is larger after non-pentrative liver trauma in comparing to penetrative one. Liver function recovery is longer after surgical procedure of penetrative liver injury in comparing to non-pentrative liver injury.

REFERENCES

1. Blumgart LH et al. Liver and bile duct injury. Surgery of the biliary tract, liver and pancreas. 2010; 2: 1035-1044.

2. Polanco P, Leon S, Pineda J, et al. Hepatic resection in the management of complex injury to the liver. J Trauma. 2008; 65(6): 1264-1269.

3. Bouras AF et al. Menagement of blunt hepatic trauma. J Visc Surg. 2010; 147 (6) 351-358.

4. Moore EE et al. Organ Injury scaling: spleen and liver (1994 revision). J Trauma. 1995; 38: 323-224.

5. Štulhofer M et al. Kirurški tretman povreda jetre. Kirurgija probavne cijevi. 1999; 2: 346-352.

6. Sharma BC et al. Endoscopic menagement of bilile leaks after blunt liver trauma, J Gastroenterol Hepatol. 2009; 24 (5); 57-61.

7. Labori KJ, Raeder MG. Diagnostic approach to the patient with jaundice following trauma. Scand J Surg. 2004; 93(3): 176-183.

8. Kepertis C et al. Value Of AST/ALT Ratio In Pediatric Liver Trauma. Journal of Clinical and Diagnostic Research. 2008; 2(6):1145-1148.

9. Fleck A et al. Liver export proteins and trauma. British Medical Bulletin. 2011; 100 (1). 1-6.

10. Glaser K et al-; Traumatic bilhemia. Surgery, 1994; 116(1): 24-27.

11. Finfer S, Bellomo R, McEvoy S, Lo SK, Myburgh J, Neal B, et al. Effect of baseline serum albumin concentration on outcome of resuscitation with albumin or saline in patients in intensive care units: analysis of data from the saline versus albumin fluid evaluation (SAFE) study. BMJ. 2006; 333(7577): 1044.

12. Santos NS, Draibe SA, Kamimura MA, Cuppari L. Albumina sérica como marcador nutricional de pacientes em hemodiálise. Rev Nutr. 2004; 17(3): 339-349.

13. Nishida T, Fujita N, Nakao K, et al. A multivariate analysis of the prognostic factors in severe liver trauma. Surg Today. 1996; 26: 389-394.

14. Degiannis E, Levy RD, Velmahos GC, Mokoena T, Daponte A, Saadia R. Gunshot injuries of the liver: The baragwanath experience. Surgery. 1995; 117: 359-364.

15. Denjalic A. et al. Influence of intravenous anestetics on liver function after surgical treatment of blunt and penetrating liver trauma. Med Arh. 2006; 60 (2): 120-123.

Leave a reply

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>