• Alexandra Hetherington, Filipe S Cardoso, Erica L W Lester, and Constantine J Karvellas.
• Division of General Surgery and Trauma, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
• Curr Opin Crit Care. 2022 Apr 1; 28 (2): 184189184-189.

Purpose Of ReviewTo review the surgical and critical care management of liver trauma; one of the most common abdominal injuries sustained due to its size and location.Recent FindingsHepatic injuries range from negligible to life threatening: in the acute phase, the most common cause of morbidity and mortality is hemorrhage; however, severe traumatic hepatic injuries can also lead to biochemical abnormalities, altered coagulation, and ultimately liver failure. This brief review will review the classification of traumatic liver injuries by mechanism, grade, and severity. Most Grades I-III injuries can be managed nonoperatively, whereas the majority of Grades IV-VI injuries require operative management. Therapeutic strategies for traumatic liver injury including nonoperative, operative, radiologic will be described. The primary goal of liver trauma management in the acute setting is hemorrhage control, then the management of secondary factors such as bile leaks. The rapid restoration of homeostasis may prevent further damage to the liver and allow for deferred nonoperative management, which has been shown to be associated with good clinical outcomes.SummaryA multidisciplinary approach to the care of these patients at an experienced liver surgery center is warranted.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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