RT Book, Section
A1 Bruns, Brandon
A1 Kozar, Rosemary
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
A2 Moore, Ernest E.
SR Print(0)
ID 1175138171
T1 Liver and Biliary Tract
T2 Trauma, 9e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781260143348
LK accesssurgery.mhmedical.com/content.aspx?aid=1175138171
RD 2024/04/18
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.