TY  - CHAP
M1  - Book, Section
TI  - Liver and Biliary Tract
A1  - Bruns, Brandon
A1  - Kozar, Rosemary
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
PY  - 2020
T2  - Trauma, 9e
AB  - KEY  POINTSSixty  to  ninety  percent  of  hepatic  injuries  are  treated  nonoperatively.A  contrast-enhanced  computed  tomography  scan  documenting  extravasation  in  the  liver  may  require  angioembolization  or  operation.Organ  Injury  Scale  grade  I  or  II  hepatic  injuries  do  not  require  drains  at  laparotomy;  for  higher  grade  injuries  with  evidence  of  biliary  leak  at  laparotomy,  drainage  should  be  considered.Partial  disruption  of  hepatic  segments  II/III  or  VI/VII  are  managed  with  resectional  debridement  at  the  time  of  laparotomy.Perihepatic  packing  is  useful  in  selected  patients  with  intraoperative  coagulopathies  or  ongoing  bleeding.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/24
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175138171
ER  -