The liver is the largest intrabdominal organ in the body with thin capsule and is more vulnerable to injury especially in blunt abdominal trauma. It is the second most common organ to be injured, but unfortunately liver injury contributes maximum in terms of mortality in intraabdominal trauma .The initial assessment and resuscitation should go together. The recent trend of NOM (nonoperative management) in liver trauma has been possible because of better understanding of the anatomy of the liver, pathophysiology of liver trauma, imaging modalities like FAST and CECT, and development of interventional radiology like angio-embolization. DCS (damage control surgery) also plays an important part in an unstable patient with liver trauma before undertaking definitive surgery once lethal triad of acidosis, hypothermia, and coagulopathy is corrected after DCS.
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Chaudhry, R., Verma, A. Recent Trends in Management of Liver Trauma. Indian J Surg (2020). https://doi.org/10.1007/s12262-019-02056-2
- Liver trauma
- Damage control surgery
- Non operative management