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Operative Techniques for Severe Liver Injury pp 57–66Cite as

Liver Trauma: Parenchymal Repair and Resectional Debridement

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Abstract

The liver is one of the most commonly injured organs following abdominal trauma. The management of liver injuries, however, has evolved significantly over the past 25 years. Operative intervention, for the most part, has given way to a nonoperative approach. Nevertheless, surgical intervention is at times required most often for the patient who presents with hemodynamic instability. Once a decision has been made to perform a laparotomy for hepatic trauma, the surgeon must have an extensive armamentarium, in effect, a “toolbox” full of operative techniques at his or her disposal. Perhaps, the most widely utilized of these techniques is hepatic repair and resectional debridement.

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Author information

Authors and Affiliations

  1. Department of Surgery, New York University School of Medicine, 530 First Avenue, HCC 6C, New York, NY, 10016, USA

    H. Leon Pachter MD

  2. Trauma and Emergency Surgery, Bellevue Hospital Center, New York, NY, USA

    S. Rob Todd MD, FACS, FCCM

  3. Department of Surgery and Anesthesiology, New York University School of Medicine, 550 First Avenue, NB 15 E 9, New York, NY, 10016, USA

    S. Rob Todd MD, FACS, FCCM

Authors
  1. H. Leon Pachter MD
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  2. S. Rob Todd MD, FACS, FCCM
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Corresponding author

Correspondence to H. Leon Pachter MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA

    Rao R. Ivatury

Video Captions

Finger fracture of the liver (MP4 22289 kb)

Omental pack (MP4 32585 kb)

Digital compression (MP4 16750 kb)

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Pachter, H.L., Todd, S.R. (2015). Liver Trauma: Parenchymal Repair and Resectional Debridement. In: Ivatury, R. (eds) Operative Techniques for Severe Liver Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1200-1_6

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  • DOI: https://doi.org/10.1007/978-1-4939-1200-1_6

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1199-8

  • Online ISBN: 978-1-4939-1200-1

  • eBook Packages: MedicineMedicine (R0)

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