[Perihepatic packing combined with wrapping in the treatment of major bi-lobar hepatic trauma]

Chir Ital. 1999 May-Jun;51(3):259-64.
[Article in Italian]

Abstract

After the spleen the liver is the most exposed organ to injury in abdominal blunt trauma. The improvement in imaging techniques and in anesthesia and intensive care have contributed to a fallen in mortality rate and an enhanced possibility in non-operative management. In unstable patients the packing may be used to defer the definitive operation. The Authors report a case of liver injury of two lobes where the packing was followed by liver wrapping with an absorbable mesh. The patient, a female aged 67, resulted to have a bilobar liver injury of IV degree in the injury severity score. The delay of reoperation was 15 days. The procedure was complicated by a subphrenic abscess, successfully managed with non-operative procedures. Wrapping after liver packing may be considered a good option in unstable patient affected, by severe liver injuries after blunt abdominal traumas.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Embolization, Therapeutic / methods*
  • Female
  • Hemostasis, Surgical / methods*
  • Humans
  • Liver / injuries*
  • Liver / surgery
  • Multiple Trauma / surgery*
  • Occlusive Dressings*
  • Reoperation
  • Rupture / surgery
  • Wounds, Nonpenetrating / surgery*