title: Surgical management of severe liver trauma: a role for liver transplantation.
abstract: Severe devascularizing liver injuries continue to carry a high mortality. Rapid operative intervention to achieve hemostasis and debride devitalized tissue remains essential to salvaging these patients. For those with unsalvageable liver injuries liver transplantation can be employed. Careful support of the patient in the anhepatic state, reversal of coagulopathy, and use of venous bypass intraoperatively permit successful transplantation.
authors.affiliation: Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
authors.forename: J
authors.initials: J
authors.lastname: Angstadt
authors.forename: B
authors.initials: B
authors.lastname: Jarrell
authors.forename: M
authors.initials: M
authors.lastname: Moritz
authors.forename: S
authors.initials: S
authors.lastname: Munoz
authors.forename: W
authors.initials: W
authors.lastname: Maddrey
authors.forename: A
authors.initials: A
authors.lastname: Carabasi
authors.forename: S L
authors.initials: SL
authors.lastname: Yang
authors.forename: J
authors.initials: J
authors.lastname: Radomski
authors.forename: R
authors.initials: R
authors.lastname: Ruggiero
authors.forename: R
authors.initials: R
authors.lastname: Gastfriend
mesh_terms: D000293:Adolescent; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D016031:Liver Transplantation; D011169:Portal Vein / Q000293:injuries / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D014184:Transplantation, Homologous; D014950:Wounds, Penetrating / Q000601:surgery*