Hepatic trauma involving the hepatic veins and vena cava.
The control of massive haemorrhage in major hepatic injury with caval damage is extremely difficult. Our experience with 5 such patients is reported. The management and operative techniques involved are discussed. In 3 patients control was obtained and repair effected without recourse to internal caval shunting. One of these patients survived in spite of extensive injuries.
D000007:Abdominal Injuries / Q000628:therapy; D000063:Accidents, Traffic; D000368:Aged; D001803:Blood Transfusion; D002648:Child; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006488:Hemostasis, Surgical; D006503:Hepatic Veins / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000628:therapy