The problems of closed liver injuries
Open Access
- 1 September 1961
- Vol. 2 (3) , 267-276
- https://doi.org/10.1136/gut.2.3.267
Abstract
Because laceration of the liver is a condition which the surgeon is rarely called upon to treat, 36 cases of liver injury admitted between 1926 and 1958 have been reviewed and the results compared with those of other authors. As well as discussing the incidence of this injury and its relation to age, sex, and pathology, the surgical management is outlined. The greatest single factor which has assisted the surgeon is transfusion of whole blood. Early operation is considered advisable, and suturing is preferred in repairing damage to the liver substance and achieving haemostasis. Nevertheless, the mortality rate is high, in this series 60%, which compares favourably with that of other series. It is notable that patients operated on have a better chance of survival than those not operated upon.Keywords
This publication has 16 references indexed in Scilit:
- Injuries of the LiverArchives of Surgery, 1955
- Hepatic injuriesThe American Journal of Surgery, 1955
- CLOSED ABDOMINAL INJURIESThe Lancet, 1954
- MASSIVE HEMOBILIA FOLLOWING TRAUMATIC RUPTURE OF THE LIVER REPORT OF A CASE AND REVIEW OF THE LITERATURE*Annals of Surgery, 1953
- Massive rupture of the liverThe American Journal of Surgery, 1949
- MASSIVE RUPTURE OF THE LIVERAnnals of Surgery, 1942
- A case of liver ‘Sequestrum’ complicating subcutaneous rupture of the liverBritish Journal of Surgery, 1941
- TRAUMATIC NECROSIS OF THE LIVER WITH EXTENSIVE RETENTION OF CREATININE AND HIGH GRADE NEPHROSISArchives of Surgery, 1932
- INJURIES TO THE ABDOMINAL VISCERAAnnals of Surgery, 1929
- SOME CONSIDERATIONS REGARDING WOUNDS OF THE LIVERAnnals of Surgery, 1905