TY - JOUR
T1 - Hepatic artery ligation and peri-hepatic packing in the management of major liver trauma
T2 - Case reports
AU - Wu, S. C.
AU - Chen, F. C.
AU - Kao, Y. C.
AU - Chen, R. J.
PY - 2000
Y1 - 2000
N2 - Major hepatic trauma is often encountered in the emergent room after severe traffic accidents or impacting injuries. However, the liver is the most vulnerable intra-abdominal organ to trauma. Most liver injuries (80-90%) are major (Grade I-II) which require only close observation and supportive treatment, the remaining 10% (GrIII-V) are major injuries and uneasy to handle. Controlling hemorrhage from wounds of the liver is difficult, many traditional methods of achieving hemostasis have variable success rates. We present our experiences in three cases of using hepatic artery ligation (HAL) as an adjuvant method for those that bleeding were controlled initially by peri-hepatic packing and Pringle maneuver but with persistant hemorrhage after releasing portal triad occlusion. Successful hemostasis were obtained 48-72 hours after removal of packs, no significant hepatic function deficits observed except one patient developed intra-abdominal abscess. All patients survived.
AB - Major hepatic trauma is often encountered in the emergent room after severe traffic accidents or impacting injuries. However, the liver is the most vulnerable intra-abdominal organ to trauma. Most liver injuries (80-90%) are major (Grade I-II) which require only close observation and supportive treatment, the remaining 10% (GrIII-V) are major injuries and uneasy to handle. Controlling hemorrhage from wounds of the liver is difficult, many traditional methods of achieving hemostasis have variable success rates. We present our experiences in three cases of using hepatic artery ligation (HAL) as an adjuvant method for those that bleeding were controlled initially by peri-hepatic packing and Pringle maneuver but with persistant hemorrhage after releasing portal triad occlusion. Successful hemostasis were obtained 48-72 hours after removal of packs, no significant hepatic function deficits observed except one patient developed intra-abdominal abscess. All patients survived.
KW - Hepatic artery ligation (HAL)
KW - Peri-hepatic packing
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M3 - Article
AN - SCOPUS:0034085845
SN - 1011-6788
VL - 33
SP - 30
EP - 35
JO - Formosan Journal of Surgery
JF - Formosan Journal of Surgery
IS - 1
ER -