2019 Volume 33 Issue 3 Pages 324-328
Arterial embolization after hemostatic laparotomy is useful for severe liver damage with unstable hemodynamics. Here, we examined angiography after peri-hepatic packing. Between January 2011 and March 2017, eleven patients were directly transported to our center and perihepatic packing was performed as damage control surgery for severe liver damage (AAST-OIS grade IV or higher). All patients required high-priority surgeries, and the time from arrival at the hospital to the initiation of surgery was 47 minutes (median). There were 4 patients for whom computed tomography (CT) was performed before angiography. Although there was no significant difference in the time to the initiation of angiography examination or the time of surgery with or without CT, the initiation of surgery was delayed by approximately 40 minutes in the CT group. Embolization was required for all patients regardless of whether CT was performed.
