[The choice of the surgical method in patients with liver injuries]

Results of clinical observations and anatomic-topographic investigations of an injured liver were analyzed. Liver laceration between portal complexes and the hepatic veins system without large vessels traumatization were observed in the closed injury. The mattress or harelip stitches were placed on the defect. In the case of hepatic parenchyma crushing the dissection of nonviable tissues with subsequent wound suturing and tamponade using omentum was conducted. In patients with a knife and bullet wounds and injuries of the large vessels and hepatic channels more complicated procedures were done.