objective: to evaluate the efficacy of modified perihepatic packing (mphp) in reducing the rate of re-bleeding rate after packing removal. methods: this was an experimental study being performed in shiraz animal laboratory. high grade liver parenchymal injury was induced in 30 transgenic australian rabbits which were then divided into two groups. group a (control) included 14 and group b (exper...

OBJECTIVE To evaluate the efficacy of modified perihepatic packing (MPHP) in reducing the rate of re-bleeding rate after packing removal. METHODS This was an experimental study being performed in Shiraz animal laboratory. High grade liver parenchymal injury was induced in 30 transgenic Australian rabbits which were then divided into two groups. Group A (control) included 14 and group B (exper...

o b je c t i v e : to explore the pros and cons of early versus delayed intervention when dealing with severe blunt liver injury with significant hemoperitoneum and hemodynamic instability. m e t h o d s : this retrospective cross-sectional study was performed at the nemazi hospital, shiraz, southern iran, level i trauma center affiliated with shiraz university of medical sciences. the study po...

OBJECTIVE To explore the pros and cons of early versus delayed intervention when dealing with severe blunt liver injury with significant hemoperitoneum and hemodynamic instability. METHODS This retrospective cross-sectional study was performed at the Nemazi hospital, Shiraz, Southern Iran, level I trauma Center affiliated with Shiraz University of Medical Sciences. The study population compri...

We consider a modiication of the pigeonhole principle, MPHP, introduced by Goerdt in 7]. Using a technique of Razborov 9] and simpliied by Impagliazzo, Pudll ak and Sgall 8], we prove that any Polynomial Calculus refutation of a set of polynomials encoding the MPHP, requires degree (log n). We also prove that the this lower bound is tight, giving Polynomial Calculus refutations of MPHP of optim...

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Spontaneous rupture of hepatocellular carcinoma (HCC) is a potentially life-threatening complication. Diagnosis may be difficult, particularly in the absence of known liver cirrhosis or tumor. A 20-year-old male patient presented with progressive abdominal pain and shock. His past medical history was uneventful. Anemia, acute renal failure, and abnormal liver function test were demonstrated. Mi...

Peri-hepatic packing procedure, which is the basic damage control technique for the treatment of hepatic hemorrhage, is one of the cornerstones of the surgical strategy for abdominal trauma. The purpose of this study was to evaluate the efficacy of the perihepatic packing procedure by comparing the outcomes of appropriately and inappropriately performed interventions. Trauma patients with liver...