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Liver Trauma: Parenchymal Repair and Resectional Debridement

  • H. Leon PachterEmail author
  • S. Rob Todd
Chapter

Abstract

The liver is one of the most commonly injured organs following abdominal trauma. The management of liver injuries, however, has evolved significantly over the past 25 years. Operative intervention, for the most part, has given way to a nonoperative approach. Nevertheless, surgical intervention is at times required most often for the patient who presents with hemodynamic instability. Once a decision has been made to perform a laparotomy for hepatic trauma, the surgeon must have an extensive armamentarium, in effect, a “toolbox” full of operative techniques at his or her disposal. Perhaps, the most widely utilized of these techniques is hepatic repair and resectional debridement.

Keywords

Manual Compression Portal Triad Damage Control Surgery Hepatic Trauma Hepatic Artery Ligation 
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 8

Finger fracture of the liver (MP4 22289 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

  1. 1.Department of SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Trauma and Emergency SurgeryBellevue Hospital CenterNew YorkUSA
  3. 3.Department of Surgery and AnesthesiologyNew York University School of MedicineNew YorkUSA

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