Main description:

This volume is a complete manual of operative techniques for battling a severe liver injury. It provides an easy pre-operative and intra-operative reference with clear illustrations, line drawings as well as actual intra-operative color pictures, supplemented by online video segments. The early sections of the book deal with the fundamentals of surgical anatomy and critical maneuvers in the resuscitation of the patient in extremis. The various technical maneuvers for manual control of hemorrhage, debridement-resection as well as formal lobectomy of the liver, the identification of biliary tract injuries and other miscellaneous techniques, such as balloon tamponade of missile tracts, are discussed in complete detail. The book also sketches the role of liver transplantation surgeons in the acute trauma setting. The final chapters focus on the urgent problem of teaching operative techniques to young trauma surgeons in an era of dwindling surgical experience.

Written by authors who are world- renowned experts in trauma management, often termed "master-surgeons", Operative Techniques for Severe Liver Injury is required preparation for all surgeons who are likely to face a massive crush injury of the liver.

Contents:

Chapter 1 Surgical Anatomy of the Liver
Thomas M. Scalea & Brandon Bruns

Chapter 2 Treatment of Liver Injuries: An Overview
Charles E. Lucas & Anna M. Ledgerwood

Chapter 3 Resuscitation Maneuvers for "Extremis"
Thomas M. Scalea

Chapter 4 Massive Hepatic Hemorrhage: Identification
Adrian W. Ong, Vicente Cortes, & Aurelio Rodriguez

Chapter 5 Massive Hepatic Hemorrhage: Initial Steps in Hemostasis
Juan A. Asensio, Juan Manuel Verde, Patrizio Petrone, Alejandro J. Perez-Alonso, Anthony Policastro, & Corrado Marini

Chapter 6 Liver Trauma: Parenchymal Repair and Resectional Debridement
Leon H. Pachter & S. Rob Todd

Chapter 7 Parenchyma - Formal Lobectomy
Andrew B. Peitzman & James Wallis Marsh

Chapter 8 Vascular Injuries of Porta Hepatis
Jordan A. Weinberg & Timothy C. Fabian

Chapter 9 Juxtahepatic Venous Injuries
L. D. Britt

Chapter 10 Juxtahepatic Venous Injuries: Emergency Measures, Definitive Control, and Atriocaval Shunts
Donald D. Trunkey & K. Shad Pharaon

Chapter 11 Long Penetrating Tracts
Rao R. Ivatury

Chapter 12 Liver Packing
David V. Feliciano

Chapter 13 Damage-Control Laparotomy
Carlos A. Ordonez, Mauricio Millan Lozano, & Michael W. Parra

Chapter 14 Liver Resection and Transplantation for Trauma by Transplant Surgeons
Salvatore Gruttadauria, Duilio Pagano, & Marco Spada

Chapter 15 Extra-Hepatic Biliary System
David V. Feliciano

Chapter 16 Acquisition of Surgical Skills in Animal and Simulation Laboratories
Robert F. Buckman, Jr., & Mark W. Bowyer

Chapter 17 Acquisition of Surgical Skills by Hepatobiliary Rotation
Brian G. Harbrecht & J. David Richardson.