A New Surgical Attempt for Severe Hepatic Trauma: A Case Report

Abstract

Guang-Ning Su, Chang-He Zhang

Liver injury is common in abdominal injuries and its prognosis is closely related to the grade and management of the injury. Although the range of non-surgical treatment (NOM) is becoming wider and wider, surgical treatment is still an irreplaceable treatment for some patients with severe liver injury. We encountered a patient with a grade �?� liver laceration. Because of the particularity of the injury site and the desire to avoid a second operation, we adopted a new surgical method. We ligated the initial segment of the main bleeding vessel, left the drainage tube in the rupture, and finally closed the hepatic surface rupture. This relatively simple operation eventually cured the patient. So far, the results have been satisfactory.  We report a case of a young male with grade �?� liver injury after a traffic accident. Due to the severity of the injury, hemodynamic instability, and the presence of peritonitis, we used a new and simple surgical approach to treat the patient, and the patient recovered successfully without additional surgery or serious complications. This may give doctors new ideas for dealing with similar injuries to the liver.

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