Abstract
Authors demonstrated two cases of severe hepatic injury successfully operated in Iwakuni National Hospital and offered discussion about operative method. The operative technique applied to these two cases were following.
Case 1. 19-years-old male
The hepatic wound was at diphragmatic surface of the liver. Even after hepatic suture, considerable hepatic bleeding was continued so persistently that gauze was packed between diaphragm and liver. Hemorrhage was well controlled and the patient was discharged on the 86th hospital day.
Case 2. 11-years-old male.
Following debridement of hepatic wound, dacron prothesis was placed at the wound edge and mattress suture was performed along the prothesis with chromic cut- gut. The patient was discharged on the 90th hospital day.
To determine the early accurate diagnosis of hepetic injury, authors emphasized the effectiveness of early abdominal paracanthesis and liver function test, especially of GOT, GPT and LDH.
Some technical devices of hepatic suture are stated in literatures and here by authors but if the suture is impossible because of hepatic tissue damage is serious, hepatic resection should be preferable.
