title: Gerota's fascia flap: a technique for autogenous packing in major liver injuries.
abstract: Hepatic trauma occurs in ∼ 5% of patients admitted to emergency rooms and nonoperative management has become the standard of care in hemodynamically stable patients with blunt trauma, for most of the injured solid organs. However, the staged surgery represents the first line of treatment in hemodynamically instable patients. The abdominal packing is considered the first step of this surgical policy. The authors describe a new surgical technique consisting of Gerota's fascia dissection that provide an autogenous pedunculated flap to obtain a definitive hemostasis of the injured liver with a permanent packing system.
authors.affiliation: Emergency Department, La Sapienza Università di Roma, Umberto I Policlinico di Roma, Roma, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Catani
authors.forename: Ritanna
authors.initials: R
authors.lastname: De Milito
authors.forename: Francesco
authors.initials: F
authors.lastname: Romagnoli
authors.forename: Claudio
authors.initials: C
authors.lastname: Modini
mesh_terms: D000328:Adult; D000071938:Fasciotomy; D005260:Female; D006470:Hemorrhage / Q000601:surgery; D006489:Hemostatic Techniques; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D013524:Surgical Flaps; D014949:Wounds, Nonpenetrating / Q000601:surgery