Hemostatic Control in Liver Injury, A Practical Review
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Abstract
The liver is the most usually damaged organ following blunt trauma, which can occur as a result of blunt, thoracic, or abdominal trauma. Penetrating liver damage is accompanied with potentially fatal lesions of key neighboring tissues (e.g., vena cava, aorta). (The size and depth of the liver hematoma and/or laceration as discovered on computed tomography (CT) or at the time of surgery are used to classify liver damage (I through VI). Injury severity correlates with greater morbidity and death. Exploratory laparotomy for trauma involves of first controlling bleeding using abdominal tamponade in all four quadrants, then inspecting the intra-abdominal organs and, if necessary, exploring the retroperitoneum. Before treating gastrointestinal damage, active bleeding is addressed.
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