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Review| Volume 22, ISSUE 6, P439-445, November 1991

Hepatic trauma and its management

  • R.H. Wilson
    Affiliations
    Department of Surgery, The Queen's University of Belfast, Belfast, U.K.
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  • R.J. Moorehead
    Correspondence
    Requests for reprints should be addressed to: Mr R. J. Moorehead, The Queen's University of Belfast, Department of Surgery, Institute of Clinical Science, Grosvenor Road, Belfast BT12 6BJ, Northern Ireland.
    Affiliations
    Department of Surgery, The Queen's University of Belfast, Belfast, U.K.
    Search for articles by this author
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      Abstract

      This review examines the current management of trauma to the liver. The incidence, mechanism, classification, diagnosis, treatment and complications of hepatic trauma are discussed. Diagnosis of hepatic injury may be difficult and specific investigations are suggested. Non-operative treatment and the strict criteria necessary to identify suitable patients for this are assessed. The recent trend to conservative surgery in hepatic trauma is reviewed. Aggressive resuscitation and early control of bleeding are crucial and are emphasized.
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