Resumen

INAGUAZO SANCHEZ, Darwin Aníbal; MORA LAZO, Javier  y  COBOS MINA, Jonathan. Damage control surgery: efficacious surgical alternative for severe hepatic. Rev Cubana Cir [online]. 2007, vol.46, n.2. ISSN 0034-7493.

Hepatic trauma is more frequently found in multitrauma individuals with hemodynamics disorders and abdominal contusions. It is present in 80% of penetrating injures and 20% of closed trauma. Approximately 3% of these patients are seen at emergency room services when they are in serious hypovolemic shock. Hepatic trauma mortality rate has substantially lowered, which shows not only the advances in pre-hospital medical care but also the learning of new abilities and surgical techniques by surgeons. Damage control surgery is a surgical choice that is being used at present to manage the severely traumatized patient. We presented an updated literature review, making emphasis on attitudes and surgical procedures in the management of severe hepatic trauma and giving a specific description of hepatic packing. The sucess of this treatment is linked to a quick and prompt decision by trauma surgeon to perform this procedure

Palabras clave : damage control; hepatic trauma.

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