TY  - JOUR
T1  - HEpatic packing in major hepatic trauma
AU  - FERGUSON CM
Y1  - 1989/04/01
N1  - 10.1001/archsurg.1989.01410040118030
JO  - Archives of Surgery
SP  - 508
EP  - 509
VL  - 124
IS  - 4
N2  - To the Editor.—I read with great interest the recent article of Stain et al1 in the October 1988 issue of the Archives. Although I certainly agree with their major conclusion, ie, that hemorrhage is the major cause of mortality in patients with severe liver injury, I must take issue with their relative condemnation of hepatic packing with planned reexploration for obtaining hemostasis in such patients. I submit a report of a recent case that supports the practice of hepatic packing in major hepatic trauma, including juxtahepatic venous injury.Report of a Case. —A 17-year-old healthy male patient was involved in a motor vehicle accident May 18, 1988. He was admitted while in shock to a community hospital in rural Georgia. After a brief attempt at resuscitation he underwent celiotomy and was found to have exsanguinating hemorrhage from the liver. Due to the limited resources in this small hospital,
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410040118030
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410040118030
ER  -