Operative Management of Adult Blunt Hepatic Trauma

If bleeding persists despite the above maneuvers, selective hepatic artery ligation can be considered by those experienced in the procedure.¹¹ This maneuver poses a risk of liver necrosis, particularly when accompanied by deep liver sutures or overzealous packing. It should therefore be performed judiciously.^40,41 Postoperative angioembolization is a better option when possible.