OperativeManagementBluntHepaticTrauma
References Historical Perspective Introduction Bleeding controlled Delayed laparotomy: Remove packing Definitive debridement or... Delayed laparotomy: Remove packing Definitive debridement or... Delayed laparotomy: Remove packing Definitive debridement or... Consider SHAL Bleeding controlled? Selective vessel ligation Omental pack Consider vascular isolation with shunting procedure Bleeding controlled? Juxtahepatic injury Pack and resuscitate Bleeding controlled? ICU for resuscitation Pringle maneuver Damage control laparotomy. Consider ambioembolization Pack and resuscitate Bleeding controlled? Electrocautery or argon beam;  topical hemostatic agents H G F E D C B Major or minor bleeding? A