avoidance of ‘mishra phenomenon’ prevents technical failure of hepatic artery angioembolization following failed perihepatic packing in traumatic liver injury

نویسندگان

biplab mishra all india institute of medical sciences new delhi, india

mohit joshi

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Super-Selective Hepatic Angioembolization for Traumatic Hepatic Artery Laceration in a Child

47 Blunt abdominal trauma is a major cause of abdominal injury in children. The liver is the second most commonly injured organ followed by the spleen1. Nonoperative management (NOM) became the main choice for hemodynamically stable patients with solid organ injury (SOI)2-4. The reported success rate of NOM in pediatrics reached up to 90%3. Adjunct arterial embolization, if indicated, increases...

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Perihepatic Packing in The Management of Liver Trauma

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Modified Perihepatic Packing; A Creative and Beneficial Method for Management of High Grade Liver Injury.

OBJECTIVE To evaluate the efficacy of modified perihepatic packing (MPHP) in reducing the rate of re-bleeding rate after packing removal. METHODS This was an experimental study being performed in Shiraz animal laboratory. High grade liver parenchymal injury was induced in 30 transgenic Australian rabbits which were then divided into two groups. Group A (control) included 14 and group B (exper...

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modified perihepatic packing; a creative and beneficial method for management of high grade liver injury

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Post-traumatic Raynaud's phenomenon following volar plate injury.

Post-traumatic Raynaud's phenomenon following non-penetrating or non-repetitive injury is rare. We report a case of Raynaud's phenomenon occurring in a single digit 3 months following volar plate avulsion injury. Daily episodes of painless pallor of the digit occurred for 1 month upon any exposure to cold, resolving with warm water therapy. Symptoms resolved after the initiation of hand therapy...

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Update on Liver Failure Following Hepatic Resection: Strategies for Prediction and Avoidance of Post-operative Liver Insufficiency

Liver resection is increasingly used for a variety of benign and malignant conditions. Despite advances in preoperative selection, surgical technique and perioperative management, posthepatectomy liver failure (PHLF) is still a leading cause of morbidity and mortality following liver resection. Given the devastating physiological consequences of PHLF and the lack of effective treatment options,...

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bulletin of emergency and trauma

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