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Liver Trauma - Surgery - Lecture Slides

Slides, General Surgery

Post: December 20th, 2012
Description
This lecture covers a topic in Surgery. Keywords are given below: Liver Trauma, Friable Parenchyma, Subcapsular Hematoma, Intrahepatic Hematoma, Hepatic Vascular Disruption, Bile Duct Injury, Mild Hepatic Injuries, Gallbladder Injuries
This lecture covers a topic in Surgery. Keywords are given below: Liver Trauma, Friable Parenchyma, Subcapsular Hematoma, Intrahepatic Hematoma, Hepatic Vascular Disruption, Bile Duct Injury, Mild Hepatic Injuries, Gallbladder Injuries
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Contents
Liver Trauma Docsity.com Background • Largest solid abdominal organ,fixed position • Second most common injured, but most common cause of death after abdominal trauma • Blunt MVA most common • 80% adults, 97% children-conservative rx Docsity.com Pathophysiology • Friable parenchyma, thin capsule, fixed position in relation to spine. • Right lobe gets hit more since its larger, and closer to ribs. • 85% injuries involve segments 6,7,8 from compressioin against ribs, spine, abd wall. • Shear forces at attachments to diaphragm • Transmission thru right hemithorax. Docsity.com Pathophysiology • Liver injured easily in children since ribs are compliant, force transmitted. • Liver not as developed in children, with weaker connective tissue framework. • Iatrogenic injuries by biopsies, biliary drainage, TIPS, can cause capsular tears and bile leaks, fistulas, hemoperitoneum. Docsity.com Injuries Subcapsular hematoma or intrahepatic hematoma. Laceration Contu..

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