H. Pachter
New York University
23 Papers
306 Citations
H. Pachter is an academic researcher from New York University. The author has contributed to research in topics: Medicine & Injury Severity Score. The author has an hindex of 12, co-authored 23 publications.
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Papers
Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients.
H. Pachter,M. Margaret Knudson,B Esrig,Steven E. Ross,David B. Hoyt,Thomas H. Cogbill,H Sherman,Thomas M. Scalea,Paul B. Harrison,Steven R. Shackford +9 more
TL;DR: Current data would suggest that 50 to 80% of all adult patients with blunt hepatic injuries are candidates for nonoperative management, irrespective of grade of injury or degree of hemoperitoneum, and thus merit constant re-evaluation and close observation in critical care units.
389
Significant trends in the treatment of hepatic trauma. Experience with 411 injuries.
TL;DR: The combination of portal triad occlusion, finger fracture technique, and the use of a viable omental pack is a safe, reliable, and effective method of managing complex hepatic injuries (grade III to IV).
236
Experience with the finger fracture technique to achieve intra-hepatic hemostasis in 75 patients with severe injuries of the liver.
TL;DR: The direct approach to the treatment of major hepatic lacerations by opening a lacerated liver sufficiently to ligate lacerate blood vessels and bile ducts, followed by closure over an omental pedicle is strongly endorsed.
133
Autologous splenic transplantation for splenic trauma
Peter W.T. Pisters,H. Pachter +1 more
TL;DR: Multiple human and animal studies have established that splenic autotransplantation is a relatively safe and easily performed procedure that results in the return of some hematologic and immunologic parameters to baseline levels.
117
Experience with Selective Operative and Nonoperative Treatment of Splenic Injuries in 193 Patients
H. Pachter,Frank C. Spencer,Steven R. Hofstetter,Howard Liang,Jamal J. Hoballah,Gene F. Coppa +5 more
TL;DR: It is documented that splenorrhaphy can safely be performed in 65% to 75% of splenic injuries and nonoperative therapy can be accomplished safely in a small select group (15% to 20%), with a success rate of nearly 90% if strict criteria for selection are met.
80