The advantages and disadvantages of methods used to control liver bleeding: A review

Nouri, S. and Sharif, M.R. and Afzali, H. and Sharif, A. and Satkin, M. (2015) The advantages and disadvantages of methods used to control liver bleeding: A review. Trauma Monthly, 20 (4).

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Context: Despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients' lives. However, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. Evidence Acquisition: A MEDLINE and conventional search of the past 50 years of the medical literature was performed to identify relevant articles on hemostasis in the liver parenchymal tissue. Results: The studies that have been published on hemostasis in the liver parenchymal tissue can be classified into 3 categories: 1. surgical procedures; 2. methods affecting body hemodynamic; 3. pharmacological methods. The purpose of these studies are to identify the best therapeutic approaches that not only minimize the bleeding, but also save the maximum amount of the liver tissue and minimize the use of partial liver resections. Conclusions: The excessive blood loss and the long time needed to control the bleeding during liver surgery impose several side effects and complications on patients. Topical hemostatic agents such as ferric chloride, potassium aluminum sulfate (alum) and aluminum chloride are safely applicable in patients. These agents might be used along with other current methods to minimize the blood loss and the need for blood products during liver surgeries. © 2015, Trauma Monthly.

Item Type: Article
Additional Information: cited By 1
Uncontrolled Keywords: aprotinin; blood clotting factor 7; collagen; creatinine; fibrin glue; tranexamic acid, acute kidney failure; air embolism; blood transfusion; cause of death; central venous pressure; creatinine blood level; dialysis; disease exacerbation; dissecting sealer technique; drug efficacy; drug safety; electrocoagulation; electrostimulation; high intensity focused ultrasound; human; Hydro jet technique; intraoperative period; kidney failure; liver hemorrhage; liver resection; postoperative period; Pringle maneuver; pulsed electrical stimulation; Review; surgical technique; suturing method; systematic review; thrombocyte aggregation; thrombosis; ultrasonic surgical aspiration technique; vascular clamp; vascular occlusion technique
Subjects: Medicine
Divisions: Faculty of Medicine > Clinical Sciences > Department of Pediatrics
Depositing User: editor . 2
Date Deposited: 08 Mar 2017 14:52
Last Modified: 08 Mar 2017 14:52

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