title: A refinement in the technique of perihepatic packing.
abstract: Early intra-abdominal packing is a lifesaving maneuver for selected patients with major liver injuries. However, the effectiveness of perihepatic packing can be limited by renewed bleeding when laparotomy pads that have become adherent to the injured liver surface are removed. A technique for intra-abdominal packing of complex liver injuries is presented that avoids the bleeding sequelae related to pack removal.
authors.affiliation: Department of Surgery, Case Western Reserve University, Cleveland, Ohio 44109-1998.
authors.forename: C R
authors.initials: CR
authors.lastname: McHenry
authors.forename: G M
authors.initials: GM
authors.lastname: Fedele
authors.forename: M A
authors.initials: MA
authors.lastname: Malangoni
mesh_terms: D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques; D006801:Humans; D008099:Liver / Q000293:injuries*; D014947:Wounds and Injuries / Q000150:complications / Q000628:therapy