Traumatismo hepático muy grave en la infancia. A propósito de dos casos con tratamiento mínimamente invasivo / Very severe hepatic trauma in childhood. the report of two cases with minimally invasive treatment

Los traumatismos hepáticos en los niños son una patología que presenta una incidencia creciente debido fundamentalmente a que cada vez los menores se ven más implicados en juegos y deportes de aventura, potencialmente peligrosos, y a los constantes accidentes de automóvil. Tradicionalmente el tratamiento es conservador, con soporte vital especializado y reposo absoluto, fundamentalmente. Ello permite en la mayoría de los casos una recuperación completa del paciente sin la agresión de la intervención quirúrgica, lo que previene, además, el daño sobreañadido de la manipulación de la víscera hepática lesionada. Presentamos dos casos clínicos de sendos niños de 6 y 4 años que sufrieron rotura traumática muy grave de hígado, intervenidos quirúrgicamente mediante técnicas mínimamente invasivas que lograron la curación completa (AU)

Liver trauma in children is a pathology that has an increasing incidence mainly due to the implications of growing children in hazardous games and sports adventure, and the frequent car accidents. There has been a shift of management in haemodynamically stable patients towards non-operative management. This allows in most cases a patient’s complete recovery without surgical aggression, preventing further damage derived from the handling of the injured liver. Here with we report two cases of a 6 and 4 year old boys who suffereda very severe traumatic rupture of the liver. They were operated through minimally invasive surgical procedures, achieving complete resolution of the serious damages (AU)

[Very severe hepatic trauma in childhood. The report of two cases with minimally invasive treatment]. / Traumatismo hepático muy grave en la infancia. A propósito de dos casos con tratamiento mínimamente invasivo.

Liver trauma in children is a pathology that has an increasing incidence mainly due to the implications of growing children in hazardous games and sports adventure, and the frequent car accidents. There has been a shift of management in haemodynamically stable patients towards non-operative management. This allows in most cases a patient's complete recovery without surgical aggression, preventing further damage derived from the handling of the injured liver. Herewith we report two cases of a 6 and 4 year old boys who suffered a very severe traumatic rupture of the liver. They were operated through minimally invasive surgical procedures, achieving complete resolution of the serious damages.

Perihepatitis en adolescente sexualmente activa / Peri-hepatitis in a sexually active adolescent

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