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Liver Trauma - Operative Management
  1. Maj JJ Morrison, Academic Department of Military Surgery and Trauma1,
  2. KE Bramley, Specialty Registrar in Anaesthesia and Critical Care (West of Scotland)2 and
  3. AG Rizzo, Attending Surgeon in Trauma Surgery and Critical Care3
  1. 1Royal Centre for Defence Medicine, Birmingham Research Park, Vincent Drive, Edgbaston, Birmingham B15 2SQ + 44 (0) 7917 180 486 jonny_morrison{at}doctors.org.uk
  2. 2Dept of Anaesthesia, Glasgow Royal Infirmary
  3. 3Inova Fairfax Hospital, VA, USA

Abstract

Civilian liver trauma is generally sustained by blunt injury, with management strategies increasingly focusing on selective non-operative strategies and endovascular intervention. Military liver trauma is more often ballistic in nature and almost always requiring operative intervention. This article reviews established and evolving surgical techniques in the operative management of liver trauma.

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