Current Management of Hepatic Trauma.

by Piper GL, Peitzman AB on July 21, 2010

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Current Management of Hepatic Trauma.

Surg Clin North Am. 2010 Aug;90(4):775-785

Authors: Piper GL, Peitzman AB

With the shift toward nonoperative management, most hepatic injuries are managed nonoperatively. On the other hand, up to two-thirds of high-grade hepatic injuries require laparotomy; these cases are technically difficult and challenging. Damage-control approaches, understanding of liver anatomy, and advances in technology have dramatically changed the approach to hepatic trauma, with improved outcomes. Anatomic or nonanatomic liver resection is required in 2% to 5% of liver injuries. Mortality with liver injury following resection is 9% with current advances.

PMID: 20637947 [PubMed - as supplied by publisher]

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