Evaluation of the outcomes of reconstructive surgeries on hepatic vessels in combined trauma
https://doi.org/10.52888/0514-2515-2024-362-3-55-62
Abstract
Aim. To optimize the treatment of liver trauma by analyzing surgical outcomes.
Materials and Methods. A retrospective analysis was conducted on data from 98 patients who underwent reconstructive liver vascular surgeries for combined trauma between 2018 and 2023. Patients were categorized into three groups based on the type of liver vascular injury: Type A (30 patients), Type B (40 patients), and Type C (28 patients). Diagnostic methods included computed tomography (CT) scans, angiography, and blood tests. Surgeries were performed using microsurgical techniques and innovative materials.
Results and Discussion. The average duration of surgery increased with the severity of liver injury: Type A surgeries averaged 1.81 hours, Type B averaged 2.84 hours, and Type C averaged 3.04 hours. Blood loss was also significantly higher in patients with Type B and Type C injuries. Complication and reoperation rates were highest among Type C patients (20.84% complication rate and 18.36% reoperation rate), while Type A patients had the lowest rates. Survival rates were highest in Type A patients (99.11%) and lowest in Type C patients (82.53%).
Conclusion. The results indicate that reconstructive liver vascular surgeries for combined trauma yield outcomes that vary by the type of vascular injury. Arterial injuries (Type A) are associated with more favorable prognoses, whereas venous and mixed injuries (Types B and C) present greater challenges. Enhancements in diagnostic techniques and surgical approaches are essential for reducing complications and improving patient survival.
About the Author
P. Kh. Nazarov
SI National Medical Center of the Republic of Tajikistan “Shifobakhsh”
Tajikistan
Tajikistan
Parviz Kh. Nazarov - Candidate of Medical Sciences; Head of Reception Department of GU National Medical Centre of the Republic of Tajikistan ‘Shifobakhsh’.
Tel: +992904170091
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Review
For citations:
Nazarov P.Kh. Evaluation of the outcomes of reconstructive surgeries on hepatic vessels in combined trauma. Health care of Tajikistan. 2024;(3):55-62. (In Russ.) https://doi.org/10.52888/0514-2515-2024-362-3-55-62
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