MASSIVE LIVER TRAUMA INVOLVING SUPRARENAL VENA CAVA

Experience with major hepatic resections is discussed with particular emphasis on those cases with injury to the suprarenal vena cava. The feasibility of transporting persons with massive liver trauma from small community hospitals to major medical centers using packs to obtain temporary control of hemorrhage is emphasized. The role of major hepatic resections for extensive liver trauma, especially in blunt injuries involving the suprarenal vena cava is discussed. The importance of having blood banking facilities capable of providing massive amounts of blood is stressed. A modification of Schrock's technic for vascular isolation of the liver in injuries to the hepatic veins and suprarenal vena cava is presented. © 1969.