The Journal of Trauma: Injury, Infection, and Critical Care · 1989 · 26 citations · 0 references
MedicineSurgeryHepatologyTransplant SurgeryVascular SurgeryCoagulopathy Management In TraumaHepatic NecrosisHepatobiliary SurgeryHepatocellular NecrosisLiver DiseaseLiver TransplantationLiver Injury ManagementLiver SurgeryLiver Transplantation ManagementLiver Trauma SurgeryOperative DebridementTransplantationVenous Bypass GraftingVenous Bypass Surgery
Severe devascularizing liver injuries continue to carry a high mortality. Rapid operative intervention to achieve hemostasis and debride devitalized tissue remains essential to salvaging these patients. For those with unsalvageable liver injuries liver transplantation can be employed. Careful support of the patient in the anhepatic state, reversal of coagulopathy, and use of venous bypass intraoperatively permit successful transplantation.