Journal of Emergencies, Trauma, and Shock
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SYMPOSIUM
Year : 2011  |  Volume : 4  |  Issue : 1  |  Page : 114-119

Management of liver trauma in adults


Department of Surgery & Division of Trauma and Surgical Critical Care, Jersey Shore University Medical Center 1945 State Rt. 33, Neptune, USA

Correspondence Address:
Nasim Ahmed
Department of Surgery & Division of Trauma and Surgical Critical Care, Jersey Shore University Medical Center 1945 State Rt. 33, Neptune
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.76846

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The liver is one of the most commonly injured organs in abdominal trauma. Recent advancements in imaging studies and enhanced critical care monitoring strategies have shifted the paradigm for the management of liver injuries. Nonoperative management of both low- and high-grade injuries can be successful in hemodynamically stable patients. Direct suture ligation of bleeding parenchymal vessels, total vascular isolation with repair of venous injuries, and the advent of damage control surgery have all improved outcomes in the hemodynamically unstable patient population. Anatomical resection of the liver and use of atriocaval shunt are rarely indicated.


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