Hepatic injuries are found in 30 per cent of patients undergoing operation after penetrating
abdominal wounds and in 15 to 20 per cent of patients undergoing operation after blunt …

Two hundred eighty-five cases of liver trauma have been treated in the last five years at the
San Francisco General Hospital. One hundred three resulted from blunt trauma and 182 …

• Between 1939 and 1974, more than 1,500 patients have been treated for penetrating or
blunt liver trauma at our institution. Gunshot wounds and major blunt trauma have increased …

• Two hundred thirty-three patients were operated on for hepatic trauma during a two-year
period. There were 101 patients with stab wounds, 90 with gunshot wounds, and 42 with …

In the past, and in particular prior to World War II, major hepatic injuries were usually treated
by insertion of a gauze pack and by drainage. Sepsis, secondary hemorrhage, and biliary …

The records of 443 cases of liver trauma operated on at San Francisco General Hospital
from 1976 to 1981 were reviewed. Forty-two percent of the injuries were due to blunt trauma …

Because of its large size and particular location, the liver is probably the most commonly
injured of all the intra-abdominal organs. This appears to be true for both penetrating and …

• We reviewed 233 traumatic injuries to the liver. The mortality was 11%. Deaths were due to
either uncontrolled intraoperative hemorrhage or the postoperative complications of multiple …

DURING the nineteenth century, nonoperative treatment was the accepted method of caring
for hepatic injuries. The mortality rate was 66.8 per cent. 14 In 1870 Bruns5 first successfully …

As stated in the introduction to this monograph, much has changed in the management of
major hepatic injuries during the past 5 to 10 years. The major changes are summarized as …