Prevention of bile peritonitis by laparoscopic evacuation and lavage after nonoperative treatment of liver injuries.

@article{Franklin2007PreventionOB,
  title={Prevention of bile peritonitis by laparoscopic evacuation and lavage after nonoperative treatment of liver injuries.},
  author={Glen A. Franklin and James David Richardson and Aaron L Brown and Ashley Britton Christmas and Frank B Miller and Brian G. Harbrecht and Eddy H. Carrillo},
  journal={The American surgeon},
  year={2007},
  volume={73 6},
  pages={611-6; discussion 616-7}
}
One of the major lessons learned in the World War II experience with liver injuries was that bile peritonitis was a major factor in morbidity and mortality; the nearly uniform drainage of liver injuries in the subsequent operative era prevented this problem. In the era of nonoperative management, patients who do not require operative treatment for hemodynamic instability may develop large bile and/or blood collections that are often ignored or inadequately drained by percutaneous methods. These… CONTINUE READING