Liver Trauma - Surgery - Lecture Slides, Slides for General Surgery . Ambedkar University, Delhi

General Surgery

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
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Liver Trauma
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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
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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.
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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.
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