Hepato Gastroenterol
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Hepato Gastroenterol · Mar 2015
Observational StudyManagement of severe blunt liver injuries by applying the damage control strategies with packing-oriented surgery: experiences at a single institution in Korea.
This study was conducted to investigate effective management strategies for patients with severe blunt liver injuries. ⋯ Although nonoperative management can first be pursued if the patient's condition allows for it, hemodynamic instability and evidence of peritonitis requires surgical management. Surgical management should abide by the damage control surgery principles that focus on packing to minimize surgical time, followed by aggressive critical care according to damage control resuscitation.