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Juxtahepatic Venous Injuries: Emergency Measures, Definitive Control, and Atriocaval Shunts

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Operative Techniques for Severe Liver Injury

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Abstract

The liver is one of the most frequently injured organs in abdominal trauma. The anterior location in the abdominal cavity and fragile parenchyma make this organ vulnerable to injury. Prior to World War II, the mortality from liver injuries that were diagnosed and operated on was very high. After World War II, a better working knowledge in the anatomy of the liver, popularized by Couinaud, and subsequent liver transplantation furthered our understanding of the liver and how to more safely operate. Even with these advances, until about twenty years ago, many liver injuries were still operated on with lethal outcomes. The operations were time consuming and prone to significant blood loss.

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Author information

Authors and Affiliations

  1. Section of Trauma and Critical Care, Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA

    Donald D. Trunkey MD

  2. Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR, USA

    K. Shad Pharaon MD

  3. Division of Trauma and Acute Care Surgery, Surgical Critical Care, PeaceHealth Southwest Medical Center, Vancouver, WA, 98664, USA

    K. Shad Pharaon MD

Authors
  1. Donald D. Trunkey MD
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  2. K. Shad Pharaon MD
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Corresponding author

Correspondence to Donald D. Trunkey MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Virginia Commonwealth University, Richmond, Virginia, USA

    Rao R. Ivatury

Video Captions

Pringle maneuver (MP4 14015 kb)

Hepatic vascular exclusion (MP4 99239 kb)

Atriocaval shunt (MP4 256971 kb)

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Trunkey, D.D., Pharaon, K.S. (2015). Juxtahepatic Venous Injuries: Emergency Measures, Definitive Control, and Atriocaval Shunts. In: Ivatury, R. (eds) Operative Techniques for Severe Liver Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1200-1_10

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  • DOI: https://doi.org/10.1007/978-1-4939-1200-1_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1199-8

  • Online ISBN: 978-1-4939-1200-1

  • eBook Packages: MedicineMedicine (R0)

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