2008 Volume 28 Issue 6 Pages 783-790
Our concept of treatment for blunt hepatic injury consists of urgent management (UM) for exsanguination and planned management (PM) for delayed complications. The strategy was highlighted with the advanced application of urgent arterial embolization (UAE) for hemodynamically unstable patients and duly expedient operative intervention for liver injury-related complication based on consecutively comprehensive monitoring. The survival rate for UAE in cases of high-grade liver injury (grade IV-V) was 91.3% (21 out of 23), and that of hemodynamically unstable patients was 84.6% (11 out of 13). No late death occurred following PM including anatomical liver resection indicating an appropriate approach integral to successfully saving severely injured patients.
