[Observations regarding surgical treatment in liver XXXX ].

@entity1 @entity174 @entity99 @entity204 @entity130
The high mortality rate in @entity99 is a concern for the surgeons on duty, who most know the physiopathological problems and the decisions needed in view of both @entity99 . The mortality rate from liver @entity130 has fallen from 60% at the beginning of this century, blunt @entity130 to the abdomen from accidents, is responsible for 80-90% of all liver injures in Europe. The severity of @entity99 in 268 @entity1 in a prospective study (1978-1998), were treated according to a defined protocol. Non operative management was used in first day, for those who were haemodynamically stable on admission. In unstable @entity1 who proceeded to surgery, under optimal condition the mortality rate was 34.3%. @entity204 in @entity1 with multiple injures should only rarely result from liver @entity130 . 92 @entity1 with minor injures (grade I-II) were treated by simple suture, with mortality rate of 6%. 116 @entity1 (43%) sustained complex hepatic injures (grade III to V); 64 @entity1 with grade III (23%), 36 with grade IV (13%). 16 @entity1 (5%) grade V, injury under went finger @entity174 of @entity99 alone 36. The mortality rate in this group was 18% (III), 36% (IV). 16 @entity1 with grad V injury were managed with 68% mortality rate. Juxtahepatic veins and retrohepatic V.C.I. injury continue to carry a prohibitive mortality rate (90-100%).
