A Novel Use of Microwave Ablation for Traumatic Liver Hemorrhage

[...]the most concerning findings included a grade IV liver laceration that was later discovered to have active extravasation of contrast, a grade I to II splenic laceration, and hemoperitoneum (see Fig. 1). Because she was hemodynamically stable, she was taken to the operating room (OR) for repair...

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Bibliographic Details
Published inThe American surgeon Vol. 84; no. 2; pp. 64 - 66
Main Authors Wernick, Brian D., Quiros, Roderick M.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.02.2018
SAGE PUBLICATIONS, INC
Subjects
Abdomen
Hemorrhage
Injuries
Intensive care
Liver
Liver cancer
Mandible
Medical imaging
Microwave ablation
Packaging
Patients
Trauma
United States > US
Pennsylvania
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Summary:[...]the most concerning findings included a grade IV liver laceration that was later discovered to have active extravasation of contrast, a grade I to II splenic laceration, and hemoperitoneum (see Fig. 1). Because she was hemodynamically stable, she was taken to the operating room (OR) for repair of her complex facial lacerations and right mandible fracture. Because of its large size and relatively frail composition, the liver is the most commonly injured solid organ in blunt trauma.1 Management of liver injuries has changed dramatically over the decades, from a primarily operative approach historically to a minimally invasive approach with angiography playing a central role.2 In general, blunt trauma patients with liver injuries are triaged based on their hemodynamics. First-line therapy involves packing the liver via generous midline incision.3 Packs are carefully removed to allow inspection of the liver.
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ISSN:0003-1348
1555-9823
DOI:10.1177/000313481808400209