SlideShare ist ein Scribd-Unternehmen logo
1 von 75
Downloaden Sie, um offline zu lesen
Dr. Aisha Al-Zuhair General Surgery KFHU – Khobar – Saudi Arabia Dec 16, 2009
 
Surface anatomy ,[object Object],[object Object],[object Object],[object Object]
Surface anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
[object Object],[object Object]
Ligaments  ,[object Object],[object Object],[object Object],[object Object]
Fissures
Segmental anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Segmental anatomy ,[object Object],[object Object]
 
 
Blood Supply ,[object Object],[object Object],[object Object]
 
Blood Supply – Portal Vein ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood supply – Hepatic artery ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
Blood supply – Hepatic vein ,[object Object],[object Object],[object Object],[object Object]
 
Radiological anatomy
Radiological anatomy
 
Introduction  ,[object Object],[object Object],[object Object],Richardson JD. Ann Surg. 2000;232:324-330.  Lucas CE. Am Surg. 2000;66:337-341.
[object Object],[object Object],JH Pringle, 1908
History of Liver Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors making the liver prone to injury: ,[object Object],[object Object],[object Object],[object Object]
 
1. Moore EE, Cogbill TH, Jurkovitch GJ, Shackford SR, Malangoni MA, Champion. Organ injury scaling-spleen, liver (1994 rev). J Trauma. 1995; 38:323-4
Grade 1 ,[object Object],Contrast CT demonstrates a small, crescent-shaped subcapsular and parenchymal hematoma less than 1 cm thick.
Grade 2 ,[object Object],CT scan at the level of the hepatic veins shows a subcapsular hematoma 3 cm thick.
Grade 3 ,[object Object],Contrast CT shows a 4-cm-thick subcapsular hematoma associated with parenchymal hematoma and laceration in segments 6 and 7 of the right lobe of the liver..
Grade 4 ,[object Object],CT scan of the abdomen demonstrates a large subcapsular hematoma measuring more than 10 cm. The high-attenuating areas within the lesion represent clotted blood
Grade 4 ,[object Object],Contrast CT shows a large parenchymal hematoma in segments 6 and 7 of the liver with evidence of an active bleed. Note the capsular laceration and large hemoperitoneum.
Grade 5 ,[object Object],CT demonstrates global injury to the liver. Bleeding from the liver was controlled by using Gelfoam.
 
 
 
Management   ,[object Object],[object Object],[object Object]
 
Non-Operative Management of Liver Injury ,[object Object],[object Object],Knudson MM. Surg Clin North Am. 1999;79:1357-1371.  Malhotra AK. Ann Surg. 2000;231:804-813.  Maull KI. World J Surg. 2001;25:1403-1404.  Pachter HL. Am J Surg. 1995;169:442-454.    Sherman HF J Trauma. 1994;37:616-621.  Schweizer W. Br J Surg. 1993;80:86-88.  .  Miller PR. J Trauma. 2002;53:238-242.    Goan YG. J Trauma. 1998;45:360-364.  Brasel KJ. Am J Surg. 1997;174:674-677.  .  Ochsner MG.. World J Surg. 2001;25:1393-1396.
Criteria for NOMLI ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
High Success With Non-operative Management of Blunt Hepatic Trauma ,[object Object],[object Object],[object Object]
Cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cont. ,[object Object],[object Object],[object Object],[object Object]
Complications of NOMLI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Failure of NOMLI  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria of failure of NOMLI ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to manage conservatively Grade I II III IV ICU 0 0 0 1 Hospital stay (d) 2 3 4 5 Activity Restriction (w) 3 4 5 6
Follow up  ,[object Object],[object Object],2003 Eastern Association For The Surgery of Trauma
 
Indications  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operative technique/options ,[object Object],[object Object],[object Object],[object Object],[object Object]
Operative technique/options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],commonest Juxtahepatic venous injury
 
 
 
 
Operative technique/options ,[object Object]
1. Moore EE, Cogbill TH, Jurkovitch GJ, Shackford SR, Malangoni MA, Champion. Organ injury scaling-spleen, liver (1994 rev). J Trauma. 1995; 38:323-4
 
 
 
 
 
 
Hepatic segments Resections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
References  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Surgical liver anatomy
Surgical liver anatomySurgical liver anatomy
Surgical liver anatomyDr Amit Dangi
 
Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.Vikas V
 
Management of abdominal vascular injury
Management of abdominal vascular injuryManagement of abdominal vascular injury
Management of abdominal vascular injuryBashir BnYunus
 
Liver Trauma & Concepts in Abdominal Trauma Lecture
Liver Trauma & Concepts in Abdominal Trauma LectureLiver Trauma & Concepts in Abdominal Trauma Lecture
Liver Trauma & Concepts in Abdominal Trauma LectureDK Sharma
 
Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem Muhammad Saleem
 
Laparoscopic inguinal hernia repair (TAPP)
Laparoscopic inguinal hernia repair (TAPP)Laparoscopic inguinal hernia repair (TAPP)
Laparoscopic inguinal hernia repair (TAPP)Dr-Maryam Khan
 
Splenic trauma - Causes, Complications, Management
Splenic trauma - Causes, Complications, ManagementSplenic trauma - Causes, Complications, Management
Splenic trauma - Causes, Complications, ManagementVikas V
 
Esophaegeal resection & reconstruction
Esophaegeal resection & reconstructionEsophaegeal resection & reconstruction
Esophaegeal resection & reconstructionSaeed Al-Shomimi
 
01 blunt abdominal trauma
01 blunt abdominal trauma01 blunt abdominal trauma
01 blunt abdominal traumaDang Thanh Tuan
 

Was ist angesagt? (20)

Internal hernia
Internal herniaInternal hernia
Internal hernia
 
Surgical liver anatomy
Surgical liver anatomySurgical liver anatomy
Surgical liver anatomy
 
Liver trauma
Liver traumaLiver trauma
Liver trauma
 
Pancreatic Trauma
Pancreatic TraumaPancreatic Trauma
Pancreatic Trauma
 
Colorectal injuries
Colorectal injuriesColorectal injuries
Colorectal injuries
 
Liver trauma
Liver traumaLiver trauma
Liver trauma
 
Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.Lt hemicolectomy - Surgical Approach, Complications.
Lt hemicolectomy - Surgical Approach, Complications.
 
LIVER TRAUMA
LIVER TRAUMALIVER TRAUMA
LIVER TRAUMA
 
Management of abdominal vascular injury
Management of abdominal vascular injuryManagement of abdominal vascular injury
Management of abdominal vascular injury
 
LIVER INJURY- TRAUMA SURGERY.pptx
LIVER INJURY- TRAUMA SURGERY.pptxLIVER INJURY- TRAUMA SURGERY.pptx
LIVER INJURY- TRAUMA SURGERY.pptx
 
Liver Trauma & Concepts in Abdominal Trauma Lecture
Liver Trauma & Concepts in Abdominal Trauma LectureLiver Trauma & Concepts in Abdominal Trauma Lecture
Liver Trauma & Concepts in Abdominal Trauma Lecture
 
Colorectal trauma
Colorectal traumaColorectal trauma
Colorectal trauma
 
Bile duct injury
Bile duct injuryBile duct injury
Bile duct injury
 
Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem
 
Abdominal trauma management
Abdominal trauma managementAbdominal trauma management
Abdominal trauma management
 
Laparoscopic inguinal hernia repair (TAPP)
Laparoscopic inguinal hernia repair (TAPP)Laparoscopic inguinal hernia repair (TAPP)
Laparoscopic inguinal hernia repair (TAPP)
 
Splenic trauma - Causes, Complications, Management
Splenic trauma - Causes, Complications, ManagementSplenic trauma - Causes, Complications, Management
Splenic trauma - Causes, Complications, Management
 
Esophaegeal resection & reconstruction
Esophaegeal resection & reconstructionEsophaegeal resection & reconstruction
Esophaegeal resection & reconstruction
 
Necrotizing pancreatitis
Necrotizing pancreatitisNecrotizing pancreatitis
Necrotizing pancreatitis
 
01 blunt abdominal trauma
01 blunt abdominal trauma01 blunt abdominal trauma
01 blunt abdominal trauma
 

Ähnlich wie Liver Trauma

Appliedliveranatomy 091219152729-phpapp01
Appliedliveranatomy 091219152729-phpapp01Appliedliveranatomy 091219152729-phpapp01
Appliedliveranatomy 091219152729-phpapp01hussienaa
 
livertrauma-1goood to read70217143913.pdf
livertrauma-1goood to read70217143913.pdflivertrauma-1goood to read70217143913.pdf
livertrauma-1goood to read70217143913.pdfssuser53e121
 
MANAGEMENT OF ABDOMINAL TRAUMA.pptx
MANAGEMENT OF ABDOMINAL TRAUMA.pptxMANAGEMENT OF ABDOMINAL TRAUMA.pptx
MANAGEMENT OF ABDOMINAL TRAUMA.pptxMikeAlen
 
Advanced and laparoscopic liver, bile duct and pancreatic surgery
Advanced and laparoscopic liver, bile duct and pancreatic surgeryAdvanced and laparoscopic liver, bile duct and pancreatic surgery
Advanced and laparoscopic liver, bile duct and pancreatic surgeryhr77
 
New Advances in the Treatment of Liver Tumors: Laparoscopic Resections
New Advances in the Treatment of Liver Tumors: Laparoscopic ResectionsNew Advances in the Treatment of Liver Tumors: Laparoscopic Resections
New Advances in the Treatment of Liver Tumors: Laparoscopic ResectionsMills-Peninsula Health Services
 
Abdominal trauma
Abdominal traumaAbdominal trauma
Abdominal traumawanted1361
 
Liver Abcess post slevee gastrectomy
Liver Abcess post slevee gastrectomyLiver Abcess post slevee gastrectomy
Liver Abcess post slevee gastrectomyHaitham Alfalah MD
 
Liver gb powerpoint
Liver gb  powerpointLiver gb  powerpoint
Liver gb powerpointspecialclass
 
Celiaco Mesenteric Trunk - A Case Report
Celiaco Mesenteric Trunk - A Case ReportCeliaco Mesenteric Trunk - A Case Report
Celiaco Mesenteric Trunk - A Case ReportIOSR Journals
 
Management of abdominal trauma
Management of abdominal traumaManagement of abdominal trauma
Management of abdominal traumaLih Yin Chong
 
abdominal trauma.ppt
abdominal trauma.pptabdominal trauma.ppt
abdominal trauma.pptjoendesh
 
Ashraf 2017 abdominal trauma
Ashraf 2017 abdominal traumaAshraf 2017 abdominal trauma
Ashraf 2017 abdominal traumaAshraf Mohamed
 
Management of abdominal trauma.ppt1
Management of abdominal trauma.ppt1Management of abdominal trauma.ppt1
Management of abdominal trauma.ppt1drchano
 
Abdominal Trauma Nestor 2007
Abdominal Trauma Nestor 2007Abdominal Trauma Nestor 2007
Abdominal Trauma Nestor 2007Dang Thanh Tuan
 

Ähnlich wie Liver Trauma (20)

Appliedliveranatomy 091219152729-phpapp01
Appliedliveranatomy 091219152729-phpapp01Appliedliveranatomy 091219152729-phpapp01
Appliedliveranatomy 091219152729-phpapp01
 
livertrauma-1goood to read70217143913.pdf
livertrauma-1goood to read70217143913.pdflivertrauma-1goood to read70217143913.pdf
livertrauma-1goood to read70217143913.pdf
 
MANAGEMENT OF ABDOMINAL TRAUMA.pptx
MANAGEMENT OF ABDOMINAL TRAUMA.pptxMANAGEMENT OF ABDOMINAL TRAUMA.pptx
MANAGEMENT OF ABDOMINAL TRAUMA.pptx
 
International Journal of Hepatology & Gastroenterology
International Journal of Hepatology & GastroenterologyInternational Journal of Hepatology & Gastroenterology
International Journal of Hepatology & Gastroenterology
 
Advanced and laparoscopic liver, bile duct and pancreatic surgery
Advanced and laparoscopic liver, bile duct and pancreatic surgeryAdvanced and laparoscopic liver, bile duct and pancreatic surgery
Advanced and laparoscopic liver, bile duct and pancreatic surgery
 
New Advances in the Treatment of Liver Tumors: Laparoscopic Resections
New Advances in the Treatment of Liver Tumors: Laparoscopic ResectionsNew Advances in the Treatment of Liver Tumors: Laparoscopic Resections
New Advances in the Treatment of Liver Tumors: Laparoscopic Resections
 
Abdominal trauma
Abdominal traumaAbdominal trauma
Abdominal trauma
 
Liver
LiverLiver
Liver
 
Liver Abcess post slevee gastrectomy
Liver Abcess post slevee gastrectomyLiver Abcess post slevee gastrectomy
Liver Abcess post slevee gastrectomy
 
Liver gb powerpoint
Liver gb  powerpointLiver gb  powerpoint
Liver gb powerpoint
 
3 Liver Dr Fidel Copy
3  Liver Dr Fidel   Copy3  Liver Dr Fidel   Copy
3 Liver Dr Fidel Copy
 
Bdi
Bdi Bdi
Bdi
 
Celiaco Mesenteric Trunk - A Case Report
Celiaco Mesenteric Trunk - A Case ReportCeliaco Mesenteric Trunk - A Case Report
Celiaco Mesenteric Trunk - A Case Report
 
liver trauma.pptx
liver trauma.pptxliver trauma.pptx
liver trauma.pptx
 
Management of abdominal trauma
Management of abdominal traumaManagement of abdominal trauma
Management of abdominal trauma
 
abdominal trauma.ppt
abdominal trauma.pptabdominal trauma.ppt
abdominal trauma.ppt
 
Ashraf 2017 abdominal trauma
Ashraf 2017 abdominal traumaAshraf 2017 abdominal trauma
Ashraf 2017 abdominal trauma
 
Management of abdominal trauma.ppt1
Management of abdominal trauma.ppt1Management of abdominal trauma.ppt1
Management of abdominal trauma.ppt1
 
Radiology in Trauma.pptx
Radiology in Trauma.pptxRadiology in Trauma.pptx
Radiology in Trauma.pptx
 
Abdominal Trauma Nestor 2007
Abdominal Trauma Nestor 2007Abdominal Trauma Nestor 2007
Abdominal Trauma Nestor 2007
 

Mehr von Saeed Al-Shomimi

Pathophysiology of wound healing
Pathophysiology of wound healingPathophysiology of wound healing
Pathophysiology of wound healingSaeed Al-Shomimi
 
Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...Saeed Al-Shomimi
 
Retroperitoneal Collections
Retroperitoneal CollectionsRetroperitoneal Collections
Retroperitoneal CollectionsSaeed Al-Shomimi
 
How to do - Abdominal Trauma
How to do - Abdominal TraumaHow to do - Abdominal Trauma
How to do - Abdominal TraumaSaeed Al-Shomimi
 
Breast Cancer during pregnancy
Breast Cancer during pregnancyBreast Cancer during pregnancy
Breast Cancer during pregnancySaeed Al-Shomimi
 
Antibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute PanceriatitisAntibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute PanceriatitisSaeed Al-Shomimi
 
A v fistula in heamodialysis
A v fistula in heamodialysisA v fistula in heamodialysis
A v fistula in heamodialysisSaeed Al-Shomimi
 
Lower Limb Vascular Trauma
Lower  Limb  Vascular  TraumaLower  Limb  Vascular  Trauma
Lower Limb Vascular TraumaSaeed Al-Shomimi
 
Risk Factors of Breast Cancer
Risk Factors of Breast CancerRisk Factors of Breast Cancer
Risk Factors of Breast CancerSaeed Al-Shomimi
 
Surgical Management in Ulcerative Colitis
Surgical Management in Ulcerative ColitisSurgical Management in Ulcerative Colitis
Surgical Management in Ulcerative ColitisSaeed Al-Shomimi
 
Endocrine Tumors Of The Pancreas
Endocrine Tumors Of The PancreasEndocrine Tumors Of The Pancreas
Endocrine Tumors Of The PancreasSaeed Al-Shomimi
 

Mehr von Saeed Al-Shomimi (20)

Pathophysiology of wound healing
Pathophysiology of wound healingPathophysiology of wound healing
Pathophysiology of wound healing
 
Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...
 
Retroperitoneal Collections
Retroperitoneal CollectionsRetroperitoneal Collections
Retroperitoneal Collections
 
Tube thoracostomy
Tube thoracostomyTube thoracostomy
Tube thoracostomy
 
How to do - Abdominal Trauma
How to do - Abdominal TraumaHow to do - Abdominal Trauma
How to do - Abdominal Trauma
 
Breast Cancer during pregnancy
Breast Cancer during pregnancyBreast Cancer during pregnancy
Breast Cancer during pregnancy
 
Antibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute PanceriatitisAntibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute Panceriatitis
 
Gallstone
GallstoneGallstone
Gallstone
 
A v fistula in heamodialysis
A v fistula in heamodialysisA v fistula in heamodialysis
A v fistula in heamodialysis
 
DVT Current Concept
DVT Current ConceptDVT Current Concept
DVT Current Concept
 
Diabetic Foot Examination
Diabetic Foot ExaminationDiabetic Foot Examination
Diabetic Foot Examination
 
Solitary Thyroid Nodule
Solitary Thyroid NoduleSolitary Thyroid Nodule
Solitary Thyroid Nodule
 
Massive Blood Transfusion
Massive Blood TransfusionMassive Blood Transfusion
Massive Blood Transfusion
 
Lower Limb Vascular Trauma
Lower  Limb  Vascular  TraumaLower  Limb  Vascular  Trauma
Lower Limb Vascular Trauma
 
Risk Factors of Breast Cancer
Risk Factors of Breast CancerRisk Factors of Breast Cancer
Risk Factors of Breast Cancer
 
Surgical Management in Ulcerative Colitis
Surgical Management in Ulcerative ColitisSurgical Management in Ulcerative Colitis
Surgical Management in Ulcerative Colitis
 
Endocrine Tumors Of The Pancreas
Endocrine Tumors Of The PancreasEndocrine Tumors Of The Pancreas
Endocrine Tumors Of The Pancreas
 
Ischemic Colitis
Ischemic ColitisIschemic Colitis
Ischemic Colitis
 
Gastric Carcinoma
Gastric CarcinomaGastric Carcinoma
Gastric Carcinoma
 
Thyroid Tumor
Thyroid TumorThyroid Tumor
Thyroid Tumor
 

Kürzlich hochgeladen

Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfMedicoseAcademics
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
concept of total quality management (TQM).
concept of total quality management (TQM).concept of total quality management (TQM).
concept of total quality management (TQM).kishan singh tomar
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingAnonymous
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxsumanchaulagain3
 

Kürzlich hochgeladen (20)

Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdf
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
concept of total quality management (TQM).
concept of total quality management (TQM).concept of total quality management (TQM).
concept of total quality management (TQM).
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_Wellbeing
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptx
 

Liver Trauma

Hinweis der Redaktion

  1. The superior, anterior, and right lateral surfaces of the liver are smooth and convex, fitting against the diaphragm. The posterior surface has indentations from the colon, right kidney, and duodenum on the right lobe and the stomach on the left lobe
  2. Common resections acc to the segmants: Right hemihepatectomy (segments 5 to 8, or right hepatectomy, right hepatic lobectomy) Right trisectionectomy (segments 4 to 8, or right lobectomy, trisegmentectomy of Starzl) Left hemihepatectomy (segments 1 to 4, or left hepatectomy, left hepatic lobectomy) Left lateral sectionectomy (segments 1 to 3, or left lobectomy, left lateral segmentectomy).
  3. Common resections acc to the segmants: Right hemihepatectomy (segments 5 to 8, or right hepatectomy, right hepatic lobectomy) Right trisectionectomy (segments 4 to 8, or right lobectomy, trisegmentectomy of Starzl) Left hemihepatectomy (segments 1 to 4, or left hepatectomy, left hepatic lobectomy) Left lateral sectionectomy (segments 1 to 3, or left lobectomy, left lateral segmentectomy).
  4. The 8 liver segments (namely 1, 2, 3, 4a, 4b, 5, 6, 7, 8) are numbered clockwise on the frontal view.
  5. The 8 liver segments (namely 1, 2, 3, 4a, 4b, 5, 6, 7, 8) are numbered clockwise on the frontal view.