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LIVER CONTUSIONS. DECISIONS AT ARRIVALS: THE RESUSCITATION AND EVALUATION OR LAPAROTOMY

Keywords: LIVER , TREATMENT , ABDOMINAL BLUNT TRAUMA

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Abstract:

The liver is the largest solid abdominal organ with a relatively fixed position, which makes it prone to injury. The liver is the second most commonly injured organ in abdominal trauma, but damage to the liver is the most common cause of death after abdominal injury. The most common cause of liver injury is blunt abdominal trauma, which is secondary to motor vehicle accidents in most instances. In the past, most of these injuries were treated surgically. However, surgical literature confirms that many of liver injuries have stopped bleeding by the time surgical exploration is performed, and some operations performed for blunt abdominal trauma are nontherapeutic. Imaging techniques and non-operative management, have made a great impact on the treatment of patients with liver trauma, and use of these techniques has resulted in marked reduction in the number of patients requiring surgery and nontherapeutic operations

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