Severe Hepatic Trauma: Nonoperative Management, Definitive Repair, or Damage Control Surgery?

@article{Leppniemi2011SevereHT,
  title={Severe Hepatic Trauma: Nonoperative Management, Definitive Repair, or Damage Control Surgery?},
  author={Ari Kalevi Lepp{\"a}niemi and Panu Juhani Mentula and Mari H. Streng and Mika P. Koivikko and Lauri E. Handolin},
  journal={World Journal of Surgery},
  year={2011},
  volume={35},
  pages={2643-2649}
}
Management of severe liver injuries has evolved to include the options for nonoperative management and damage control surgery. The present study analyzes the criteria for choosing between nonoperative management and early surgery, and definitive repair versus damage control strategy during early surgery. In a retrospective analysis of 144 patients with severe (AAST grade III–V) liver injuries (94% blunt trauma), early laparotomy was performed in 50 patients. Initial management was nonoperative… CONTINUE READING

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