Perihepatic packing

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Perihepatic packing is a surgical procedure used in connection with surgery to the liver. In this procedure the liver is packed to stop non arterial bleeding, most often caused by liver injury.[1]

During this surgery laparoscopic pads are placed around the site of the bleeding.[2] The main purpose of hepatic packing is to prevent the person from succumbing to the trauma triad of death.[3] Under- or over-packing of the liver can cause adverse outcomes, and if the bleeding cannot be controlled through this surgical method, the Pringle manoeuvre is an alternate technique that can be utilized.[4]

References

  1. ↑ "TRAUMA.ORG: Damage Control: Hepatic Trauma". Retrieved 2012-07-28. 
  2. ↑ Parks RW, Chrysos E, Diamond T (September 1999). "Management of liver trauma". The British Journal of Surgery 86 (9): 1121–35. doi:10.1046/j.1365-2168.1999.01210.x. PMID 10504364. Retrieved 2012-08-04. 
  3. ↑ Stracieri LD, Scarpelini S (2006). "Hepatic injury". Acta Cirúrgica Brasileira / Sociedade Brasileira Para Desenvolvimento Pesquisa Em Cirurgia. 21 Suppl 1: 85–8. PMID 17013521. Retrieved 2012-07-28. 
  4. ↑ Piper GL, Peitzman AB (August 2010). "Current management of hepatic trauma". The Surgical Clinics of North America 90 (4): 775–85. doi:10.1016/j.suc.2010.04.009. PMID 20637947. Retrieved 2012-07-29. 
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