Perihepatic packing

Perihepatic packing is a surgical procedure used to control bleeding in the liver. It is often used in cases of severe liver trauma, where immediate control of hemorrhage is necessary to save the patient's life. The procedure involves placing absorbent materials around the liver to help control and stop the bleeding.

Procedure

The procedure is typically performed under general anesthesia. The surgeon makes an incision in the abdomen to access the liver. Once the liver is exposed, the surgeon places absorbent materials, such as gauze or surgical sponges, around the liver. These materials help to control the bleeding by applying pressure to the bleeding vessels. The materials are usually left in place for a period of time, typically 48 to 72 hours, before being removed in a second operation.

Indications

Perihepatic packing is indicated in cases of severe liver trauma, where immediate control of hemorrhage is necessary. This can include cases of blunt or penetrating trauma, such as car accidents or gunshot wounds. It may also be used in cases of severe liver disease, where the liver is fragile and prone to bleeding.

Risks and Complications

As with any surgical procedure, perihepatic packing carries risks and potential complications. These can include infection, bleeding, damage to surrounding organs, and complications related to anesthesia. There is also a risk that the packing materials could become dislodged, leading to further bleeding.

See Also

• Liver trauma
• Hemorrhage
• General anesthesia

References

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