Operative Techniques for Severe Liver Injury

This volume is a complete manual of operative techniques for battling a severe liver injury. It provides an easy pre-
operative and intra-operative reference with clear illustrations, line drawings as well as actual intra-operative color
pictures, supplemented by online video segments. The early sections of the book deal with the fundamentals of surgical
anatomy and critical maneuvers in the resuscitation of the patient in extremis. The various technical maneuvers for
manual control of hemorrhage, debridement-resection as well as formal lobectomy of the liver, the identification of
biliary tract injuries and other miscellaneous techniques, such as balloon tamponade of missile tracts, are discussed
in complete detail. The book also sketches the role of liver transplantation surgeons in the acute trauma setting. The
final chapters focus on the urgent problem of teaching operative techniques to young trauma surgeons in an era of
dwindling surgical experience. Written by authors who are world- renowned experts in trauma management, often termed
“master-surgeons”, Operative Techniques for Severe Liver Injury is required preparation for all surgeons who are
likely to face a massive crush injury of the liver.


Frontmatter
1. Surgical Anatomy of the Liver
2. Treatment of Liver Injuries: An Overview
3. Resuscitation Maneuvers for “Extremis”
4. Massive Hepatic Hemorrhage: Identification
5. Massive Hepatic Hemorrhage: Initial Steps in Hemostasis
6. Liver Trauma: Parenchymal Repair and Resectional Debridement
7. Parenchyma: Formal Lobectomy
8. Vascular Injuries of Porta Hepatis
9. Juxtahepatic Venous Injuries
10. Juxtahepatic Venous Injuries: Emergency Measures, Definitive Control, and Atriocaval Shunts
11. Long Penetrating Tracts
12. Liver Packing
13. Damage Control Laparotomy
14. Liver Resection and Transplantation for Trauma by Transplant Surgeons
15. Extrahepatic Biliary System
16. Acquisition of Surgical Skills in Animal and Simulation Laboratories
17. Acquisition of Surgical Skills by Hepatobiliary Rotation
Backmatter