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Pitfalls in Management

W. David Mclnnis, MD; J. David Richardson, MD; J. Bradley Aust, MD

Arch Surg. 1977;112(2):157-161.

Abstract
• We reviewed 233 traumatic injuries to the liver. The mortality was 11%. Deaths were due to either uncontrolled intraoperative hemorrhage or the postoperative complications of multiple organ injuries. The majority of liver injuries can be safely managed with manual compression, porta hepatic control, simple sutures, or drainage. Liver injuries involving the hepatic veins or retrohepatic vena cava continue to be highly lethal despite the use of vascular isolation and hepatic resection.

(Arch Surg 112:157-161, 1977)

Author Affiliations
From the Department of Surgery, the University of Texas Health Science Center at San Antonio, San Antonio, Tex.

Footnotes
Accepted for publication Aug 20, 1976.

Reprint requests to the Department of Surgery, the University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78284 (Dr Richardson).

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