Open AccessSelectivity in the Management of Hepatic Trauma
Author(s) -
Lewis Flint,
E. Truman Mays,
W. Stephen Aaron,
Robert L. Fulton,
Hiram C. Polk
Publication year - 1977
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197706000-00001
Subject(s) - medicine , ligation , sepsis , hemostasis , complication , retrospective cohort study , surgery , artery
Retrospective review of 178 consecutive patients who sustained hepatic injuries confirms that selective application of hepatic artery ligation is an efficient means of definitive hemostasis. Only two of 20 immediate deaths resulted from hepatic parenchymal hemorrhage. Over-all mortality (20%) was not significantly increased where hepatic artery ligation was used. Sepsis was the most frequent complication after severe hepatic trauma.