| Description |
1 online resource (xiii, 165 pages) : illustrations (some color) |
| Contents |
Foreword; Preface; Contents; Contributors; 1: Surgical Anatomy of the Liver; Surgical Anatomy; Gross Anatomy; Segmental Anatomy; Hepatic Arterial Anatomy; Hepatic Vein Anatomy; Biliary Tract Anatomy; Portal Venous Anatomy; Implications for Surgical Care; Conclusion; 2: Treatment of Liver Injuries: An Overview; Introduction; Surgical Incision; Temporary Packs; Hepatic Mobilization (Right Lobe); Hepatic Mobilization (Left Lobe); Hepatic Inflow; Vascular Anomalies; The Non-bleeding Wound; Hemostatic Techniques/Liver Suture; Hepatotomy; Resectional Debridement |
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Hepatic Dearterialization Anatomic Resection; Damage Control; Dearterialization and Liver Packing; Nonoperative Therapy; Hepatic Injury with Blush; Hemobilia; Hepatic Drainage; Video Captions; References; 3: Resuscitation Maneuvers for "Extremis"; Introduction; Aortic Occlusion; Resuscitative Endovascular Balloon Occlusion of the Aorta; The Future; References; 4: Massive Hepatic Hemorrhage: Identification; Management in the Emergency Room; Assessing Need for Further Radiologic Imaging; Preparation for the Operating Room; Laparotomy and Identification of Massive Liver Bleeding |
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Video CaptionsReferences; 5: Massive Hepatic Hemorrhage: Initial Steps in Hemostasis; Introduction; Initial Operating Room Management; Laparotomy: Initial Steps; Exposure; Mobilization; Temporary Hepatic Packing and Compression; Injury Identification; Decisions; Thoracotomy; Median Sternotomy; Injury Grading; Maneuvers to Control Hemorrhage; The Pringle Maneuver and Initial Decision Making; Approach to the Retrohepatic Cava; Hepatotomy, Hepatorrhaphy, and Selective Intrahepatic Vascular Ligation; Nonanatomic Resection and Debridement; Lobectomy; Conclusion; Video Captions; References |
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6: Liver Trauma: Parenchymal Repair and Resectional DebridementIntroduction; Simple Techniques of Repair; Drainage Alone (For Non-bleeding Injuries); Manual Compression; High-Energy Surgical Devices (Electrocautery, Argon Beam Plasma Coagulation); Topical Hemostatic Agents; Suture Hepatorrhaphy; Advanced Technique of Repair; Manual Compression/Resuscitation; Portal Triad Occlusion (The Pringle Maneuver); Finger Fracture Technique; Resectional Debridement; Viable Omental Pack; Closed Suction Drainage; Adjunctive Techniques; Potential Pitfalls; Intra-abdominal Abscesses; Bleeding |
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Missed Ductal Injuries/BilomasHemobilia; After the Fact; Video Captions; References; 7: Parenchyma: Formal Lobectomy; Introduction; Anatomy; Approach to the Liver; Stapling Devices; Instruments and Other Techniques; The Operation; General Principles for Elective Liver Resection; Right Hepatic Lobectomy [14]; Left Hepatic Lobectomy [14]; Left Lateral Segmentectomy [14]; Right Trisectionectomy [30]; Left Trisectionectomy; Video Captions; References; 8: Vascular Injuries of Porta Hepatis; Introduction; Anatomy and Physiology of the Portal Vein and Hepatic Artery |
| Summary |
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 tra |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Online resource; title from PDF title page (SpringerLink, viewed September 29, 2014) |
| Subject |
Liver -- Wounds and injuries -- Surgery
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Liver -- surgery
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Gastroenterology.
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Transplant surgery.
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Accident & emergency medicine.
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Critical care surgery.
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MEDICAL -- Surgery -- General.
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| Form |
Electronic book
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| Author |
Ivatury, Rao R., editor.
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| ISBN |
9781493912001 |
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1493912003 |
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