2013 Volume 33 Issue 1 Pages 15-22
Abdominal trauma associated with the poorest treatment results is critical liver damage due to external blunt trauma such as damage to the suprahepatic veins abbreviated to (IIIb+JHV below) at the complicated deep damage to the Japanese Association for the Surgery of Trauma liver damage classification (it abbreviates to IIIb type liver damage below), and IIIb type liver damage. We experienced 24 cases of liver injury at the Northern Iwate Coast and examined the treatment strategies based on 24 cases of traumatic hepatic injury in critical care centers located in depopulated area such as the authors' institution. Our results showed that the optimum medical treatment strategy for critical hepatic injuries depended on training a multidisciplinary team including a digestive organ surgeon, a vascular surgeon a radiologist with a JATEC attendance history, a nurse with a JPTEC attendance history and so on. Our results also suggested that the positive use of autologous blood recovery subsystems, such as the ability of institutions to establish urgent transfusion procedures and the use of Cell Saver®, was important.
