Haemorrhagic death from severe liver trauma has decreased in the era of haemostatic resuscitation

2021 ◽  
Author(s):  
Nicholas J Fischer ◽  
Ian D Civil
Keyword(s):  
Liver Trauma ◽  
Severe Liver ◽  
Haemostatic Resuscitation

Early surgical management of severe liver trauma with vascular complication can lead to early discharge

Trauma ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. 233-236
Author(s):  
Ee Jun Ban ◽  
Belinda Hii ◽  
Marty Smith ◽  
Warren Clements
Keyword(s):  
Bile Duct ◽  
Liver Injury ◽  
Early Discharge ◽  
Vascular Complication ◽  
Liver Trauma ◽  
Multidisciplinary Management ◽  
Hepatic Trauma ◽  
Severe Liver ◽  
Portal Triad ◽  
Arterial Embolisation

Intrahepatic arterio-portal fistulas are rare complications of blunt hepatic trauma. We describe a case of a 35-year-old male sustaining blunt abdominal trauma resulting in a grade IV liver injury complicated by arterio-portal fistula, portal venous pseudoaneurysm and concomitant bile duct injury. Although arterial embolisation is the mainstay of treatment for arterio-portal fistula, we describe a rationale for early involvement of a hepatobiliary surgeon for multidisciplinary management. Hepatic resection for acute hepatic trauma can, in selected cases, promptly manage all elements of portal triad injury, and in this particular case facilitated early uncomplicated discharge.

scholarly journals Utility of Glissonean Pedicle Transection for Surgical Treatment of Severe Liver Trauma

2017 ◽  
Vol 11 (1) ◽  
pp. 190-200
Author(s):  
Satoshi Koizumi ◽  
Kenta Katsumata ◽  
Tatsunori Ono ◽  
Kouhei Segami ◽  
Hiroyuki Hoshino ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Liver Trauma ◽  
Control Procedure ◽  
Severe Liver ◽  
Hepatic Hilus ◽  
Initial Strategy ◽  
Glissonean Pedicle ◽  
Definitive Surgery

The most common initial strategy for treatment of severe liver trauma is damage control in which hemostasis is achieved by perihepatic gauze packing and/or vascular embolization. However, we encounter patients in whom this strategy alone is not adequate. We have applied the principles of Glissonean pedicle transection, a technique that was originally devised to ensure safe and quick performance of planned hepatectomy for liver cancer, to 3 cases of severe liver trauma. We performed Glissonean pedicle ligation during damage control surgery in 2 patients and Glissonean pedicle transection during the definitive surgery in 1 patient. We describe the approaches and our experience with them, including operation times and outcomes. From our experience thus far, it seems that 8–12 h after the damage control procedure is appropriate for performing the definitive surgery. Although there are some problems posed by this strategy and cases to which it will not be applicable, the method seems to be particularly useful for cases of severe liver trauma in which the damage is extensive and involves the Glissonean pedicles near the hepatic hilus. We describe our 3 cases in detail and review our experience in light of the available literature.

scholarly journals Liver Trauma in the Kitchen: Preparing Whipped Cream with a Siphon Is Not without Risk

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Jeremy Bourenne ◽  
Béatrice Eon ◽  
Fouad Bouzana ◽  
Dominique Lambert ◽  
Estelle Jean ◽  
...  
Keyword(s):  
Liver Injury ◽  
Ct Scan ◽  
Hepatic Artery ◽  
Liver Trauma ◽  
Severe Liver ◽  
Abdominal Ct ◽  
Severity Of Injury ◽  
Abdominal Ct Scan ◽  
Capsular Rupture ◽  
Whipped Cream

We report the case of a 36-year-old woman suffering from liver injury caused by the malfunction of a whipped cream siphon. When this patient handled the whipped cream siphon, the screwed metallic upper part of the siphon was suddenly dissociated from its base and came violently striking her right hypochondrium. At first, the severity of injury was underestimated. Subsequently, due to the persistence of pain experienced by the patient, an abdominal CT scan was performed. It highlighted a severe liver injury with rupture of a branch of the hepatic artery. The evolution was favorable after completion of an embolization and a secondary capsular rupture.

LIVER TRANSPLANTATION FOLLOWING SEVERE LIVER TRAUMA

1988 ◽  
Vol 46 (2) ◽  
pp. 321 ◽  
Author(s):  
JOHN ANGSTADT ◽  
BRUCE JARRELL ◽  
ANTHONY CARBASI ◽  
SHUIN-LIN YANG ◽  
MICHAEL MORITZ ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Trauma ◽  
Severe Liver

Refinement in the technique of perihepatic packing: a safe and effective surgical hemostasis and multidisciplinary approach can improve the outcome in severe liver trauma

2011 ◽  
Vol 201 (1) ◽  
pp. e5-e14 ◽  
Author(s):  
Franco Baldoni ◽  
Salomone Di Saverio ◽  
Nicola Antonacci ◽  
Carlo Coniglio ◽  
Aimone Giugni ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Liver Trauma ◽  
Severe Liver

Massive hepatic resection in the treatment of severe liver trauma

1969 ◽  
Vol 117 (4) ◽  
pp. 442-448 ◽  
Author(s):  
Frederick W. Ackroyd ◽  
James Pollard ◽  
William V. McDermott
Keyword(s):  
Hepatic Resection ◽  
Liver Trauma ◽  
Severe Liver

scholarly journals Continuing Evolution in the Approach to Severe Liver Trauma

1992 ◽  
Vol 216 (5) ◽  
pp. 521-523 ◽  
Author(s):  
&NA;
Keyword(s):  
Liver Trauma ◽  
Severe Liver

scholarly journals Continuing Evolution in the Approach to Severe Liver Trauma

1992 ◽  
Vol 216 (5) ◽  
pp. 524-538 ◽  
Author(s):  
R. LAWRENCE REED ◽  
RONALD C. MERRELL ◽  
WILLIAM C. MEYERS ◽  
RONALD P. FISCHER
Keyword(s):  
Liver Trauma ◽  
Severe Liver

Unilateral pringle manoeuvre and packing for haemostasis in severe liver trauma

Injury ◽  
2002 ◽  
Vol 33 (3) ◽  
pp. 278-282 ◽  
Author(s):  
John L McCall ◽  
Ian D Civil
Keyword(s):  
Liver Trauma ◽  
Severe Liver ◽  
Pringle Manoeuvre

Surgical Management of Severe Liver Trauma

1989 ◽  
Vol 29 (5) ◽  
pp. 606-608 ◽  
Author(s):  
JOHN ANGSTADT ◽  
BRUCE JARRELL ◽  
MICHAEL MORITZ ◽  
SANTIAGO MUNOZ ◽  
WILLIS MADDREY ◽  
...  
Keyword(s):  
Surgical Management ◽  
Liver Trauma ◽  
Severe Liver
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