Damage control for blunt hepatic trauma: case presentation and historical review.
A 15-year old female with a Grade V liver injury from blunt trauma underwent therapeutic packing for uncontrolled hemorrhage. Pack removal in 72 hours following transfer to a major trauma center showed complete hemostasis. Six years later, CT scans revealed minimal liver sequella. Damage control surgery with initial therapeutic packing in blunt hepatic trauma is a valuable option for the community surgeon.
Kudera
Jeremy S
JS
Yankton Medical Clinic, SD, USA.
Aanning
H L
HL
D000007:Abdominal Injuries / Q000150:complications / Q000628:therapy*; D000063:Accidents, Traffic; D000293:Adolescent; D005260:Female; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D008099:Liver / Q000293:injuries*; D018986:Motor Vehicles; D013526:Surgical Mesh; D015503:Surgical Sponges; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000628:therapy*