Non-Operative Management of Adult Blunt
Hepatic Trauma Algorithm

Annotation for Point P

Continued observation is necessary, as multiple and recurrent late complications occur.²⁸ The Pittsburgh group recently reported the safety of hepatic resection in the management of complex liver injuries.⁴⁷ Although patients in this series underwent primary operative therapy and the majority were not major resections, their excellent results suggest that delayed resection for necrotic or devitalized hepatic tissue or major intraparenchymal bile leaks may be an option in select cases at institutions with the appropriate hepatic expertise.