{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:21:25Z","timestamp":1762917685882},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>Objective : to evaluate the epidemiological variables and diagnostic and therapeutic modalities related to hepatic trauma patients undergoing laparotomy in a public referral hospital in the metropolitan region of Vit\u00f3ria-ES. Methods : we conducted a retrospective study, reviewing charts of trauma patients with liver injuries, whether isolated or in association with other organs, who underwent exploratory laparotomy, from January 2011 to December 2013. Results : We studied 392 patients, 107 of these with liver injury. The male: female ratio was 6.6 : 1 and the mean age was 30.12 years. Penetrating liver trauma occurred in 78.5% of patients, mostly with firearms. Associated injuries occurred in 86% of cases and intra-abdominal injuries were more common in penetrating trauma (p &lt;0.01). The most commonly used operative technique was hepatorrhaphy and damage control surgery was applied in 6.5% of patients. The average amounts of blood products used were 6.07 units of packed red blood cells and 3.01 units of fresh frozen plasma. The incidence of postoperative complications was 29.9%, the most frequent being infectious, including pneumonia, peritonitis and intra-abdominal abscess. The survival rate of patients suffering from blunt trauma was 60%, and penetrating trauma, 87.5% (p &lt;0.05). Conclusion : despite technological advances in diagnosis and treatment, mortality rates in liver trauma remain high, especially in patients suffering from blunt trauma in relation to penetrating one.<\/jats:p>","DOI":"10.1590\/0100-69912016001006","type":"journal-article","created":{"date-parts":[[2016,4,13]],"date-time":"2016-04-13T22:19:32Z","timestamp":1460585972000},"page":"22-27","source":"Crossref","is-referenced-by-count":11,"title":["Epidemiological evaluation of hepatic trauma victims undergoing surgery"],"prefix":"10.1590","volume":"43","author":[{"given":"Mitre","family":"Kalil","sequence":"first","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac Massaud Amim","family":"Amaral","sequence":"additional","affiliation":[{"name":"Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","first-page":"518","article-title":"Abordagem geral trauma abdominal","volume":"40","author":"Pereira J\u00fanior GA","year":"2007","journal-title":"Medicina"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1590\/S0100-69912008000400004","article-title":"Trauma hep\u00e1tico: epidemiologia de cinco anos em um servi\u00e7o de emerg\u00eancia","volume":"35","author":"Stalhschmidt CMM","year":"2008","journal-title":"Rev Col Bras Cir"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1590\/S0102-67202008000400004","article-title":"Trauma abdominal: estudo das les\u00f5es mais frequentes do sistema digest\u00f3rio e suas causas","volume":"21","author":"Ribas-Filho JM","year":"2008","journal-title":"ABCD, arq bras cir dig"},{"key":"ref4","series-title":"Suporte avan\u00e7ado de vida no trauma para 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