LIVER CONTUSIONS. DECISIONS AT ARRIVALS: THE RESUSCITATION AND
EVALUATION OR LAPAROTOMY
C. Létoublon, Catherine Arvieux
Service de chirurgie générale et digestive
Centre Hospitalier Universitaire „A. Michallon”, Grenoble,
France
Jurnalul de chirurgie 2005; 1 (2):161-164
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Abstract
The liver is the largest solid abdominal organ with a relatively fixed
position, which makes it prone to injury. The liver is the second
most commonly injured organ in abdominal trauma, but damage to the
liver is the most common cause of death after abdominal injury.
The most common cause of liver injury is blunt abdominal trauma,
which is secondary to motor vehicle accidents in most instances. In
the past, most of these injuries were treated surgically.
However, surgical literature confirms that many of liver injuries
have stopped bleeding by the time surgical exploration is performed,
and some operations performed for blunt abdominal trauma are nontherapeutic.
Imaging techniques and non-operative management, have made a great
impact on the treatment of patients with liver trauma, and use of
these techniques has resulted in marked reduction in the number of
patients requiring surgery and nontherapeutic operations.
KEYWORDS: LIVER, TREATMENT, ABDOMINAL
BLUNT TRAUMA
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