[Current place of thr perihepatic absorbable mesh. Apropos of a series of 105 XXXX of the liver].

@entity1 @entity8 @entity1448 @entity1230 @entity3485 @entity99 @entity130 @entity1173
From October 1987 to June 1993, 105 @entity1 with liver @entity130 including 71 @entity1 with @entity1230 were admitted to the emergency unit of the H  pital Sud in Marseilles. Mean age was 32 +/- 15 years, ranging from 16 to 77 years. 77 were male and 28 were female. 83 cases presented with closed @entity130 , and there were 11 by knife wounds and 11 gun shot injuries. 22 @entity1 , including 10 with @entity1230 , were not operated. Operation was decided immediately in 38 cases for @entity3485 or during the following six hours because of unstable blood pressure after four units of blood transfusion. The absorbable perihepatic mesh was used by 3 surgeons and 3 others used classical procedures (sutures, packing). Global mortality was 15%. The morbidity (31%) was not different from other reports but was significantly lower when using the mesh (p = 0.002). This technique can achieve rapid and lasting hemostasis and bilistasis without any increase of @entity1448 or @entity99 compared to conventional procedures, and without any alteration of laboratory parameters, as shown by specific laboratory tests and follow-up liver biopsies. The mesh also avoids compression of the adjacent organs, compared to packing, thereby avoiding respiratory and @entity8 and reoperation. It can be used in a septic context and in combination with all kinds of radiologic follow-up and percutaneous @entity1173 and drainage.
