Blunt liver trauma is a recurrent pathology, with possible diverse anatomical involvements, which represents a challenge in therapeutic management. In this paper, the case of a 40-year-old female victim of blunt abdominal trauma with extensive liver injury is presented, and potential non-operative treatment is discussed despite its severity and mortality rates.

No abstract

Introduction: Biliodigestive anastomosis is a surgical procedure used in the treatment of operative pathologies of the biliary tract. The objective of this study was to evaluate the results, including survival and mortality rates, types of injuries and surgical techniques used in biliodigestive anastomosis performed in patients hospitalized at Hospital Municipal Lourenço Jorge. Methods: We performed a retrospective analysis of the medical records of 41 patients who underwent biliodigestive anastomosis between June 2019 and June 2022. The data collected included age, gender, length of stay, indication, type of procedure, morbidity and mortality. Results:The study included 41 patients with biliary pathology, 17 men (41.5%) and 24 women (58.5%), aged between 24 and 85 years (mean age 54.5 years). Among the patients, 31% had a benign diagnosis and 10% a malignant diagnosis. The most frequent surgical techniques were: choledochoduodenostomy in 25 patients (60.97%), choledochojejunostomy in "Y de Roux" in 8 patients (19.51%) and hepaticojejunostomy in 7 patients (17.07%), 3 of which were performed by Coinaud-Soupault technique and 5 by the Hepp-Coinaud technique. It was observed that 2 patients (4.87%) developed postoperative complications and 6 patients (14.63%) died, 4 with malignant disease and 2 with benign disease. Conclusion: The biliodigestive anastomosis proved to be an effective method in the treatment of several diseases of the biliary tract, providing an improvement in the quality of life of patients. Both in cases of benign diseases, allowing the return to daily activities, and in cases of malignant diseases, increasing survival and improving nutrition. The results obtained in this study are in line with the existing literature regarding the indications and complications of this technique.

No abstract

In this series, videothoracoscopy proved that this diagnostic and therapeutic procedure is safe and effective, if performed by a surgeon with appropriate training, especially when it is indicated in cases of retained hemothorax and evaluation of penetrating thoracoabdominal trauma.