The management of liver trauma

Abstract

Summary:Despite advances in the management of liver trauma during the past 40 years, haemorrhage has remained the commonest cause of death. This article outlines the diversity of opinion between the desire to determine the extent of damage and resect devitalised tissue with its attendant risk of exacerbating haemorrhage, and the alternative of a more conservative approach.

Reversible coma in Wernicke's encephalopathy

“…The management of liver trauma Sir, Macfarlane (1985), surprisingly, appears to recommend needle paracentesis for the diagnosis of liver trauma. The low accuracy of needle paracentesis and the potential risk of visceral injury have however,Jed to its decreasing use (Sloop, 1978).…”