Arrest of severe liver hemorrhage by an omental pack

From Jan 1, 1971 through June 30, 1979, 113 cases of massive liver injury were managed by insertion of a viable omental pack. Significant active hemorrhage was present in all cases, while the source of hepatic bleeding was primarily venous in the 102 injuries due to blunt trauma. Associated injuries...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 73; no. 11; p. 1487
Main Authors Fabian, T C, Stone, H H
Format Journal Article
LanguageEnglish
Published United States 01.11.1980
Subjects
Adolescent
Adult
Aged
Child
Child, Preschool
Female
Hemorrhage - etiology
Hemorrhage - surgery
Hemostasis, Surgical - methods
Humans
Liver - injuries
Liver - surgery
Liver Diseases - surgery
Male
Middle Aged
Omentum
Postoperative Complications
Wounds, Nonpenetrating - complications
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Summary:From Jan 1, 1971 through June 30, 1979, 113 cases of massive liver injury were managed by insertion of a viable omental pack. Significant active hemorrhage was present in all cases, while the source of hepatic bleeding was primarily venous in the 102 injuries due to blunt trauma. Associated injuries were present in 90% of patients, with an average of 2.4 associated injuries per patient. A total of 175 complications developed in 82 patients. Nine deaths produced a mortality of 8%. Arrest of liver hemorrhage by tamponade with viable omentum was almost uniformly successful in patients with nonpenetrating injury.
ISSN:0038-4348
DOI:10.1097/00007611-198011000-00021