The use of an absorbable mesh wrap in the management of major liver injuries

Lewis E. Jacobson, Orlando C. Kirton, Gerardo A. Gomez

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

Uncontrollable hemorrhage remains the predominant cause of death in patients with complex liver injuries. In view of the recently reported success in control of hemorrhage from and salvage of the injured spleen and kidney with an absorbable mesh wrap, we have begun to use a similar technique in the management of major hepatic parenchymal injuries, as an alternative to suture hepatorrhaphy, lobar resection, and perihepatic packing. The technique of mesh-wrap hepatorrhaphy is described in detail. Our initial experience with four cases is reported, demonstrating the unique features of the mesh and the technical ease with which it can be applied. Advantages over conventional techniques are discussed. These include avoidance of reoperation for removal of perihepatic packing, avoidance of hepatic necrosis after wide suture hepatorrhaphy, and avoidance of the morbidity associated with lobar resections.

Original languageEnglish (US)
Pages (from-to)455-461
Number of pages7
JournalSurgery
Volume111
Issue number4
StatePublished - Apr 1992

ASJC Scopus subject areas

  • Surgery

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    Jacobson, L. E., Kirton, O. C., & Gomez, G. A. (1992). The use of an absorbable mesh wrap in the management of major liver injuries. Surgery, 111(4), 455-461.