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Massive Hepatic Hemorrhage: Identification

  • Adrian W. OngEmail author
  • Vicente Cortes
  • Aurelio Rodriguez
Chapter
  • 1.2k Downloads

Abstract

Quick recognition of the bleeding patient and rapid deployment of the trauma team are essential. Focused sonography in trauma should be used in all cases expeditiously. Unstable patients with suspicion of intra-abdominal hemorrhage should have immediate laparotomy. Liver bleeding is readily apparent and most can be controlled using liver compression, packing, and local hemostatic maneuvers, with or without hepatoduodenal ligament occlusion. Bleeding not responsive to these measures usually signifies juxtahepatic venous hemorrhage and will usually require mobilization of the liver for exposure and hemostasis.

Keywords

Pringle Maneuver Trauma Team Blunt Trauma Patient Trauma Room Anterolateral Thoracotomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 2

Right hepatic lobe rotation (MP4 42120 kb)

Video 3

Right hepatic lobe rotation (3-D animation) (MP4 33079 kb)

Video 6

Pringle maneuver (MP4 14015 kb)

Video 7

Liver suture (MP4 39685 kb)

Video 9

Hepatic vascular exclusion (MP4 99239 kb)

Video 10

Omental pack (MP4 32585 kb)

Video 11

Digital compression (MP4 16750 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Adrian W. Ong
    • 1
    Email author
  • Vicente Cortes
    • 2
  • Aurelio Rodriguez
    • 3
  1. 1.Department of SurgeryReading HospitalWest ReadingUSA
  2. 2.Department of SurgeryReading HospitalWest ReadingUSA
  3. 3.Division of Trauma/Critical Care, Department of SurgeryConemaugh Memorial HospitalJohnstownUSA

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