Table of Contents
Severe liver injury
What is a severe liver injury?
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Initial presentation
Severity of liver trauma
Severity of liver trauma
Initial decision process
Management of stable injuries
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The unstable patient
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Liver anaesthesia
Three stages of trauma laparotomy
Indications for damage control
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Initial approach in the OR
Adequate exposure
Packing
Considerations for obtaining vascular control
Other approaches where packing is insufficient for haemostasis
Mesh wrapping
Resectional debridement
Mass ligation
Formal lobectomy
Formal lobectomy
Other considerations in deciding how to approach major liver injury
The role of angiography
Angiography
Angiography
Angiography
Angiography
Angiography
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Summary
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Author: Ian Civil
Email: philb@ahsl.co.nz
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