Book chapter
Massive Hepatic Hemorrhage: Identification
Operative Techniques for Severe Liver Injury, pp 35-40
05 Aug 2014
Abstract
Quick recognition of the bleeding patient and rapid deployment of the trauma team are essential. Focused sonography in trauma should be used in all cases expeditiously. Unstable patients with suspicion of intra-abdominal hemorrhage should have immediate laparotomy. Liver bleeding is readily apparent and most can be controlled using liver compression, packing, and local hemostatic maneuvers, with or without hepatoduodenal ligament occlusion. Bleeding not responsive to these measures usually signifies juxtahepatic venous hemorrhage and will usually require mobilization of the liver for exposure and hemostasis.
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Details
- Title
- Massive Hepatic Hemorrhage: Identification
- Creators
- Adrian W. Ong - Reading HospitalVicente Cortes - Reading HospitalAurelio Rodriguez - Conemaugh Health System
- Contributors
- Rao R. Ivatury (Editor)
- Publication Details
- Operative Techniques for Severe Liver Injury, pp 35-40
- Publisher
- Springer New York; New York, NY
- Number of pages
- 6
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- Surgery
- Scopus ID
- 2-s2.0-105010466729
- Other Identifier
- 991022020638204721