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Hepatic artery ligation for delayed hepatic hemorrhage
Archives of Surgery (Chicago, Ill. : 1960)
|January 1, 1980
Summary
Selective hepatic artery ligation effectively controlled massive liver bleeding in two patients. Preoperative imaging identified an unusual artery origin, guiding this successful surgical intervention for hemorrhage control.
Area of Science:
- Hepatobiliary Surgery
- Interventional Radiology
- Vascular Surgery
Background:
- Massive hepatic hemorrhage presents a significant clinical challenge.
- Delayed bleeding post-liver procedures requires effective management strategies.
Observation:
- Two patients experienced delayed massive hepatic hemorrhage.
- Preoperative arteriography was performed in one patient.
Findings:
- Selective hepatic artery ligation (SHAL) was successfully employed in both patients.
- Arteriography revealed an anomalous origin of the right hepatic artery in one case, aiding SHAL planning.
Implications:
- SHAL is a viable option for controlling delayed massive hepatic hemorrhage.
- Preoperative arteriography is crucial for identifying vascular anomalies and optimizing SHAL.
- This approach offers a minimally invasive solution for complex hepatic bleeding scenarios.